The University of Tennessee Health Science Center

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General Pediatrics
  • Education
  • Patient Care

Behavioral Pediatric Tools

All documents can be viewed with Adobe Reader.

AAP/NICHQ ADHD Toolkit

  • Toolkit Overview
  • Primary Care Initial Evaluation Form
  • Vanderbilt Assessment Scale, Initial- Parent
  • Vanderbilt Assessment Scale, Initial - Teacher
  • Vanderbilt Assessment Scale, Follow-Up - Parent
  • Vanderbilt Assessment Scale, Follow-Up - Teacher
  • Scoring Instructions
  • Stimulant Management
  • ADHD Management Plan 1
  • ADHD Management Plan 2
  • Daily Home Report Card
  • Does My Child Have ADHD?
  • Evaluating Your Child for ADHD
  • For Parents of Children with ADHD
  • Homework Tips
  • Problems with Sleep
  • Working with Your Child's School
  • Educational Rights for Children with ADHD

Pediatric Symptom Checklist

  • Pediatric Symptom Checklist
  • PSC - Youth Report
  • Pediatric Symptom Checklist: Spanish
  • PSC: Spanish - Youth Report

UT Division of Developmental & Behavioral Pediatrics

  • History Form

Quick Links

  • Cerner Single Sign-On Opens External Link
  • Tennessee Department of Health Immunization System Opens External Link
  • TennCare Authorization for Meds

Forms

  • Diary Form
  • Letter: Educational Testing
  • Letter: Educ Testing (Parent)
  • Methodist Order Form
  • Phone Call Record
  • Referral Instructions
  • Refusal to Vaccinate (AAP)
  • Therapy Prescription Form
  • Youth Villages Acute Care
  • Youth Villages Patient Log
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Emergency Contacts

Call 911 or Campus Police at 901-448-4444
More Emergency Information

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Memphis, Tennessee 38163 · 901-448-5500 · TDD Line: 901-448-7382

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