NICHQ Vanderbilt Assessment Follow-up PARENT Informant D5 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering today’s date, your child’s name, and their date of birth at the top of the form. This information is essential for accurate assessment.
  3. Fill in your name and phone number to ensure that you can be contacted if necessary.
  4. Review each symptom listed. Rate your child's behavior based on the provided scale (0 for 'Never' to 3 for 'Very Often'). Consider their behavior since the last assessment.
  5. For performance-related questions, assess your child's overall school performance and relationships with family and peers, using the same rating scale.
  6. In the side effects section, indicate any issues your child has experienced in the past week. Use the severity scale from 'None' to 'Severe' for each symptom.
  7. Finally, provide any additional comments or explanations in the designated area to give context to your ratings.

Start filling out your NICHQ Vanderbilt Assessment Follow-up PARENT Informant D5 today for free and streamline your documentation process!

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Rating scales will ask you to score behaviors, typically on a point scale of 0-3 or 4. Usually, 0 means never, and 3 or 4 means very often, and the higher the score, the more severe the symptom. Each test has a different way of adding up the scores to determine the likelihood of ADHD.
The NICHQ Vanderbilt Assessment Scales are used to help diagnose and monitor ADHD symptoms in children aged 6-12. The scales include a parent version and a teacher version with both intended for completion.
To meet DSM-IV criteria for the diagnosis of ADHD, one must have at least 6 responses of Often or Very Often (scored 2 or 3) to either the 9 inattentive or 9 hyperactive-impulsive items, or both and a score of 4 or 5 on any of the Performance items (48-55).
How much will my evaluation cost? The standard fee for an assessment is $6,000. Additional costs may be incurred for neuropsychological testing or polygraph examination. Any sub-specialty consultations needed within Vanderbilt are charged in addition to the standard fee and are billed separately.
The t-scores used with CAARS have a mean of 50 and a standard deviation of 10. Values around 50 indicate that the participant is in the average range in that subscale whereas higher t-scores represent a problem; lower t-scores suggest that the participant does not present particular symptoms.

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A standardized measure called a T-score helps your doctor compare your results. When your T-score is less than 60, it usually means you dont have ADHD. A score higher than 60 may indicate ADHD. And a T-score higher than 70 means your ADHD symptoms are more serious.

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