Directions: Each rating should be considered in the context of what is appropriate for the age of your child. When completing this form, please think about your child’s behaviors in the past 6 months.
Is this evaluation based on a time when the child
Are these side effects currently a problem?
Adapted from the Pittsburgh side effects scale, developed by William E. Pelham, Jr, PhD. Available for downloading at no cost in expanded format at http://ccf.FIU.edu
Your information will be encrypted.
Your browser does not support capabilities required for electronic signatures.
Click a signature you want to use: