Standard - Child/Adolescent Diagnostic Assessment

Minnesota Department of Human ServicesThere are two parts to the Child/Adolescent Diagnostic Assessment Form. Part 1 is designed to be given to parents/caregivers (or relevant guardian) prior to the diagnostic assessment. Parents should be instructed to complete the form and bring it with them when they come in for their initial appointment. This portion of the form was designed to supply mental health professionals with an overview of a child's background information and help them screen for areas that need further investigation. Part 1 may be completed with the parent if they are unable to complete it independently. 

Print a copy of Etta Jones’s Part 1 Child/Adolescent Diagnostic Assessment.