You are being assessed for Attention Deficit Hyperactivity Disorder (ADHD). You, and those who know you best (parents/guardians and a teacher), will be asked to complete forms in order to provide your medical professional with information on how you function in different areas of your life.

Print out and complete the forms as advised by your health professional. The forms will provide him/her with information on how you function in different areas of life and must be reviewed by a trained medical professional as part of an overall ADHD assessment. ADHD is not identified just through questionnaires. Diagnosing ADHD is not a matter of simply recognizing certain symptoms; a thorough medical evaluation is necessary to rule out other possible causes for your symptoms.

CADDRA Adolescent Assessment Package

CADDRA Adolescent Assessment Instructions (1 copy) / Weiss Symptom Record (3 copies) / Weiss Functional Impairment Rating Scale-Self (1 copy) / Weiss Functional Impairment Rating Scale-Parent (2 copies) / ADHD Checklist (current symptoms) (3 copies) / SNAP-IV-26 (3 copies) / CADDRA Teacher Assessment Form (1 copy) / CADDRA Patient ADHD Medication Form (2 copies)

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CADDRA ADHD Transition Form

CADDRA has developed a new form to support the transfer of patients to new healthcare professionals, including pediatric patients to adult services.

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How to Complete the Forms

Your input is very important but don't worry about answering the questions incorrectly or be concerned that you might 'label'  yourself. There are no right or wrong answers. You will be asked questions about how you function in a variety of different situations. If you are unsure of an answer, provide an answer which best describes you a good deal of the time in that particular situation. Individual questions are less important than the scale as a whole, and this can only be properly evaluated by a trained professional.

If you are living in two households, each household may be asked to complete these forms separately. It is important that you and your parents/guardians take the time to thoughtfully complete all the required questionnaires. This information on how you function in different settings is essential. For that reason, it is also important that your teacher also provides feedback. Please give the teacher the indicated forms and the teacher instruction handout.

Additional testing may be recommended by your health professional. This is particularly important if a learning disorder, speech disorder, or any other health condition is suspected.