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Get NICHQ Vanderbilt Assessment Scale: Parent Informant

Name: Parent's Phone Number: Directions: Each rating should be considered in the context of what is appropriate for the age of your child. When completing this form, please think about your child's behavior in the past 6 months. Is this evaluation based on a time when the child was on medication was not on medication not sure Symptoms Never Does not pay attention to details or makes careless mistakes with, for example, homework Has difficulty keeping attention with to what needs to be don.

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