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Pre-Intake Self-Screening

Electrocardiogram (ECG / EKG) Consent & Questionnaire



  If your provider requests you complete ADHD Evaluation Forms, please complete the following:

   1. ADHD Evaluative Questionnaire (Current Symptoms Self-Report)

   2. Childhood Behaviour Scale (ADHD)

   3. Weiss Functional Impairment Rating Scale – Self Report (WFIRS-S)

  Please also request someone who knows you well complete the following (provide them with the link

    ADHD Current Symptoms – Observed –

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