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

 

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

  • 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.

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

 

General Medical - Data Collection

 

  • Family Cardiac HIstory

  • Medication Side Effects (Teacher)

 

General Medical - Healthy Habits/Fitness

General Medical - Sleep

General Medical - Sports

  • 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

Mental Health - ADHD

  • 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

 

Mental Health - Family/Environment           

 

  • Home and School Environment (Social History)   

 

Mental Health - School-aged Screeners

  • 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

See the entire questionnaire list.