East Wichita

(316) 634-2000

West Wichita

(316) 773-3100

ADHD Questionnaires

Complete the appropriate ADHD questionnaire at the request of your physician prior to your child's appointment.  Please bring the completed form to your appointment, or return before the appointment via the patient portal. 


Parent INITIAL Questionnaire and Developmental Questionnaire

Parent FOLLOW-UP Questionnaire


Teacher INITIAL Questionnaire

Teacher Follow-up Questionnaire


*Initial questionnaires are for the first assessment only and then follow-up questionnaires are for every appointment after that.

Teachers may fax completed forms to 316-634-2321.

Please call your nurse if you have any questions.

Our Locations

Hours of Operation

Monday

8:00 am - 5:00 pm

Phone lines turn off at 4:30 pm

Tuesday

8:00 am - 5:00 pm

Phone lines turn off at 4:30 pm

Wednesday

8:00 am - 5:00 pm

Phone lines turn off at 4:30 pm

Thursday

8:00 am - 5:00 pm

Phone lines turn off at 4:30 pm

Friday

8:00 am - 5:00 pm

Phone lines turn off at 4:30 pm

Saturday

8:00 am - 11:30 am

East Location Only

Sunday

Closed

Monday
8:00 am - 5:00 pm Phone lines turn off at 4:30 pm
Tuesday
8:00 am - 5:00 pm Phone lines turn off at 4:30 pm
Wednesday
8:00 am - 5:00 pm Phone lines turn off at 4:30 pm
Thursday
8:00 am - 5:00 pm Phone lines turn off at 4:30 pm
Friday
8:00 am - 5:00 pm Phone lines turn off at 4:30 pm
Saturday
8:00 am - 11:30 am East Location Only
Sunday
Closed