Vanderbilt Assessment Follow Up (Teacher - Informant)

Please correct the errors described below.

DIRECTIONS: Each rating should be considered in the context of what is appropriate for the age of the child you are rating and should reflect that child’s behavior since the last assessment scale was filled out.



Academic Performance

The recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate.

Copyright ©2002 American Academy of Pediatrics and National Initiative for Children’s Healthcare Quality Adapted from the Vanderbilt Rating Scales developed by Mark L. Wolraich, MD. Revised - 0303

Side Effects: Has the child experienced any of the following side effects or problems in the past week?

DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

For Office Use Only

Adapted from the Pittsburgh side effects scale, developed by William E. Pelham, Jr, PhD.

Your information will be encrypted.