Back-to-School Well-Child Visit and Educator Tools

CHADIS Can Gather Back-to-school Well-Child Visit and Sport Participation Data.

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• The perfect complement to telehealth for gathering data, follow-up, resources, and care coordination.

• CHADIS is a reminder system for well-child visits.

• Uses questionnaires to help clinicians and families communicate with educators. 

• All answers are confidentially delivered directly to and from the clinician/educator, in compliance with FERPA and HIPAA. 

• Having both classroom and home feedback is imperative to making each student’s year a success.

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Here is a partial list of education and sports questionnaires available with CHADIS.

 

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General Medical - Data Collection

 

• COVID Self-Checker - CDC for Children 0-18

• Family Cardiac HIstory

• Medication Side Effects (Teacher)

 

General Medical - Healthy Habits/Fitness

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• Brenner 'Families in Training' (FIT) 

• Fit Kid Healthy Habits Questionnaire 

• Health Habits Questionnaire Ages 10+

• Obesity Consult General Intake Form

• 24 Hour Food Recall

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General Medical - Sleep

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• BEARS Sleep Screening Tool (Adolescent / Parent report) 

• BEARS Sleep Screening Tool (Adolescent / Self-report) 

• BEARS Sleep Screening Tool (Preschool / Parent report) 

• BEARS Sleep Screening Tool (School-aged / Parent report) 

• BEARS Sleep Screening Tool (School-aged / Self-report) 

• Children's Sleep Habits Questionnaire (CHSQ)

• Childhood Sleep Questionnaire

• HIBOU

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General Medical - Sports

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• Sport Concussion Assessment Tool 2: Symptom Evaluation (SCAT2: Symptom Evaluation) 

• Sport Concussion Assessment Tool – 3rd ed: Parent symptom evaluation for patients 5 to 12 years old (SCAT3- Parent report)


• Sport Concussion Assessment Tool – 3rd ed: Self-administered background and symptom evaluation for patients 13+ (SCAT3: Self-report) 

• Sport Concussion Assessment Tool – 3rd ed: Self-administered symptom evaluation for patients 5 to 12 years old (Child-SCAT3- Self-report)

• Sports Participation Questionnaire (Illinois) 

• Sports Participation Questionnaire (General) 

• Sports Physical Clinical Tool

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Mental Health - ADHD

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• ADHD Developmental Intake Form 

• ADHD Rating Scale-IV - Preschool Version

• CADDRA Teacher Assessment Form Available in English, French (Canada)

• Conners 3TM* (All versions)

• Goals for Change 

• Goals Questionnaire 

• Medication Questionnaire 

• Medication Side Effects (Parent)

• Medication Side Effects (Teacher)

• School Intervention Questionnaire

• Teacher's Report Form for Ages 6-18 (TRF 6-18)

• Vanderbilt Follow-Up Parent Informant

• Vanderbilt Follow-Up Parent Informant (with Medication Supplement)

• Vanderbilt Follow-Up Teacher Informant

• Vanderbilt Follow-Up Teacher Informant (with Medication Supplement) 

• Vanderbilt Initial Parent Informant

• Vanderbilt Initial Parent Informant (with Medication Supplements)

• Vanderbilt Initial Teacher Informant

• Vanderbilt Initial Teacher Informant (with Medication Supplement)

• Weiss ADHD Co-morbid Health Screen (WACS)

 

Mental Health - Educator/Teacher Administered

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• Adaptive Behavior Assessment System Third Edition Teacher Form (Ages 5-21) (ABAS-3)*

• ADHD Rating Scale-IV - Preschool Version (Teacher version)

• Al's Pals Attendance

• Al's Pals Student Roster

• CADDRA Teacher Assessment Form

• Caregiver-Teacher Report Form for Ages 1 1/2 - 5 (for use in daycare settings) (CTRF 1 1/2 - 5)*

• Conners 3™ - ADHD Index Teacher (Conners 3™ - AI-Teacher)*

• Conners 3™ - Teacher*

• Conners 3™ - Teacher Short*

• Conners 3™ - Global Index Teacher (Conners 3™ - GI-Teacher)*

• School Intervention Questionnaire

• School Intervention Questionnaire, Mississippi Edition

• Social Responsiveness Scale™, Second Edition - School Age, Teacher Respondent (SRS-2)*

• Strengths and Difficulties Questionnaire (SDQ) Teacher Version (2-4; 4-10; 11-17)*

• Teacher's Report Form for Ages 6-18 (TRF 6-18)*

• Teacher Report of School Functioning

 

Mental Health - Family/Environment           

 

• Home and School Environment (Social History)   

 

Mental Health - School-aged Screeners

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• Adaptive Behavior Assessment System Third Edition Parent Form (Ages 5-21)

• DSM-PC 5: Concerns

• Mood and Feelings Questionnaire: Child Self-Report Long Version

• Mood and Feelings Questionnaire: Child Self-Report Short Version

• Mood and Feelings Questionnaire: Parent Self-Report Long Version

• Mood and Feelings Questionnaire: Parent Self-Report Short Version

• Pediatric Symptom Checklist (PSC-17)

• Pediatric Symptom Checklist (PSC-35)

• Problem Behavior Checklist 

• Strengths and Difficulties Questionnaire© (SDQ) 4-10*

• Strengths and Difficulties Questionnaire Functional Assessment©*

        

Mental Health - Teen Administered

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• Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist Adolescent Screen - 3 with ASQ/suicide 

• Adolescent Screen - 3 with PHQ-9 + suicide items 

• Adolescent Screen 4 - For waiting room use only 

• Alcohol Use Disorders Identification Test—Consumption (AUDIT-C)

• Ask Suicide Screening Questions (ASQ) 

• Center for Epidemiological Studies Depression Scale for Children (CES-DC)

• CHAMPS Youth Self Report (GAPS requirements) 

• Child's Reaction to Traumatic Events Scale (CRTES)

• Kaiser Teen Questionnaire

• Kutcher Adolescent Depression Screen (KADS)

• Patient Health Questionnaire for Adolescents (PHQ-A)

• Patient Health Questionnaire-9 Modified (PHQ-9) MacArthur Scoring

• Patient Health Questionnaire-9 Modified (PHQ-9-M CTS)

• Patient Health Questionnaire-9 Modified

• Patient Health Questionnaire-9 Modified-Less Suicide Questions (PHQ-9-M less suicide)

• Pediatric Symptom Checklist 17-item Youth Report

• Pediatric Symptom Checklist 35-item Youth Report

• Pediatric Symptom Checklist 35-item Youth Report with Suicide Related Questions

• Problematic and Risky Internet Use Screening Scale 3/18 (PRIUSS 3/18)

• Screen for Child Anxiety Related Disorders (SCARED)  

• SCOFF 

• Strengths and Difficulties Questionnaire 11+©*

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See the entire questionnaire list.