Look Below for Online Versions of Clinic Forms

ADHD Childhood (parent)

This form is part of the ADHD evaluation. It is used to collect observations from others.
This form is for an a parent or another adult who knew you well as a child.

ADHD Current

This form is part of the ADHD evaluation. It is used to collect observations from others.
This form is for someone who has known you well over the past 6 months.

ADHD Therapist Observation

This form is part of the ADHD evaluation. It is used to collect observations about current symptoms.

This is intended to be filled out by a therapist.

Release of Information

This form is necessary to send or receive protected health information, medical records or to allow staff to discuss your care with others.
This form must be printed and signed.


For an electronic version, please contact the clinic.