Forms & Assessment Tools

Here are some assessment tools our paediatrician use - these are for your references and use by doctor's instructions. Questionnaires are usually reviewed on the 2nd follow-up and Do not require to complete for Initial visit.

DSM-V Criteria

To meet diagnostic criteria for ASD according to DSM-5, a child must have persistent deficits in each of three areas of social communication.

SNAP IV

The SNAP-IV is a widely-used rating scale used to screen for Attention Deficit Hyperactivity Disorder. In its original form, the SNAP-IV had 90 items that evaluated hyperactivity-impulsiveness and inattention, as well as a variety of other psychiatric symptoms.

The form must be completed by both teacher and parents.

NICHQ - Vanderbilt

The NICHQ Vanderbilt Assessment Scales are used by health care professionals to help diagnose ADHD in children between the ages of 6 to 12 years.

The form must be completed by teachers and parents.

Request Forms

Medication Request Form

Strict regulations with stimulant and psychotropic medications. We cannot accommodate emergency scripts.

This form is for:

Existing Patients
Scripts which cannot be renewed at the appointment day because it is not due yet.

Please complete and email to us.

Travel and Early Release Med

Please complete the form and email to us at one week prior you need access to the Medication or travel date.