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301-615-4270

drsegal@bethesdapsychiatryllc.com

Child & Adolescent Forms

Child & Adolescent Intake
Child & Adolescent Initial Evaluation
Child Addendum
Adolescent Addendum
Child Medication Consent
Child Patient Agreement
Child Privacy Policy
Child Release of Information
Vanderbilt ADHD Rating Scale (Parent)
Vanderbilt ADHD Rating Scale (Teacher)
Vanderbilt ADHD Rating Scale (Parent Update)
Vanderbilt ADHD Rating Scale (Teacher Update)



7910 Woodmont Avenue, Suite 1101
Bethesda, MD 20814

drsegal@bethesdapsychiatryllc.com
301-615-4270

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