Get Pediatric Symptoms Checklist

The Pediatric Symptoms Checklist (PSC-17) is an important tool used to help identify children who may need further evaluation for emotional or behavioral issues. This guide provides clear instructions for completing the checklist online, ensuring a smooth and efficient process.

Follow the steps to accurately complete the Pediatric Symptoms Checklist.

1. Click ‘Get Form’ button to obtain the checklist and open it in your preferred online editor.
2. Begin by entering your name in the designated field, including your first and last name, to identify the person completing the form.
3. Next, fill in your child's name by entering their first name. This information is essential for associating the responses with the correct individual.
4. Provide the date on which you are completing the form. This helps to keep track of when the assessment is made.
5. Enter your child's date of birth, which is critical for interpreting age-appropriate responses in the context of the checklist.
6. For each statement listed under the three categories (Internalizing, Attention, Externalizing), check the box that best describes your child's behavior: 'Never,' 'Sometimes,' or 'Often.' Be thoughtful in your responses, as these guide the assessment outcome.
7. After completing the checkboxes for all 17 statements, the totals for each category will be automatically calculated, if applicable, or you may need to sum them up based on your selections.
8. Finally, review all your entries for accuracy. Once satisfied, you can save your changes, download the completed form, print it, or share it according to your needs.

Start filling out the Pediatric Symptoms Checklist online to assess your child's well-being.