Forms

• ADHD Parent Follow-Up Form
• ADHD Parent Initial Form
• ADHD Teacher Follow-Up Form
• ADHD Teacher Initial Form

• MCHAT
• SCARED Anxiety Screen (parents to complete)
• Edinburgh Postnatal Depression Scale
• GAD-7
• SCARED Anxiety Screen (child to complete)
• PHQ-9 (Modified for Teens)

Please complete this form to request release of medical records. Requests will be processed within 7-10 business days. 

Please note that processing of full medical records may take up to 30 days. 

Please use this form to request official copies of your child's vaccine records for either your personal records or for your school. Please allow 7-10 business days for your request to be processed. 

Complete form in its entirity and submit to your child's patient portal (preferred) or email to office@shinepediatricswa.com for processing.