This questionnaire is part of the requested documents students are asked to provide prior to their first intake appointment for an ADHD evaluation at CPS.
To read about the full evaluation process at CPS and other requested documents, visit the ADHD page.
IMPORTANT: E-SIGNATURE REQUIRED
This form requires an e-signature to be valid. Please open the below PDF in Adobe Acrobat or another app that allows you to enter information on PDFs (there are many free versions online) to e-sign the document then upload it to the Patient Portal as requested by your Columbia Health provider.