These are forms for clients who have already spoken with the intake team and have scheduled appointments on the calendar. If you have not spoken with the intake team yet, please click here to initiate your intake request. 

Forms must be submitted several days before the appointment. Clinicians reserve the right to reschedule your appointment for a later date if your forms are not completed in a timely manner.

The forms below are offered in a fillable PDF format. They require you have Adobe Acrobat Reader to download, display and print properly.  Please download the form first, complete it, save it on your computer, and email it to our secure address: paperwork@childrensprogram.com. You may also fax a printed copy to (503) 452-0084.

Photographs of forms taken on mobile devices cannot be accepted.

If you have questions about filling out these forms please call the office at (503) 452-8002.

If your child is scheduled for an evaluation that includes differential diagnosis for ADHD, you may wish to complete these forms prior to the initial consultation with the psychologist. Forms are offered here in two formats for your convenience: printable and digitally fillable.

As with the other forms, please return to our secure paperwork email (preferred) or via fax.