If your child's teacher has access to the internet, download, print, and complete this form: Teacher Evaluation Instructions, and then give it to two of your child's teachers. (There are 2 copies in this download)
If your child's teacher does not have access to the internet, download and print this Teacher Evaluation Screen. There are two copies of the questionnaire in this download. Distribute each to two different teachers as instructed by your child’s pediatrician. Bring these completed forms to your child’s next visit.
If you have been asked to complete a Teacher Evaluation Form, you can either download and complete a paper form--link above (and then give the completed form to the student's parent to bring to the next visit) or complete an online version of the same form (this form will be sent directly to the child's pediatrician).
To complete an online form, you will need to ask the student's parents for the following information:
* Office location of student's appointment
(Barrington or Crystal Lake)
* Date of student's scheduled appointment.
If this is the first time you are completing an ADHD Evaluation form for this student, complete the Initial Screening form.
If you have previously completed an Initial Screening form for this student, and you are being asked to complete a follow-up form, complete the Follow-up Screening form here.