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Patient Forms       

ADHD / ADD Evaluation Forms

School Forms


Form Instructions

You will need Adobe® Acrobat Reader to view and fill out forms. If you do not have it you can download it FREE at

If you already have the Reader. Follow the instructions below.

  1. Click the link for the form you need.
  2. If you are asked whether you wish to save the form or open it, choose "open file from its current location," and click "OK."
  3. When the form opens place the cursor over a field that needs to be filled out. You may type directly onto the form.
  4. Using the tab key or your mouse you may navigate around the form filling in the required information.
  5. When you are finished filling out the form, print it and be sure to bring it with you to your office visit.

Helpful Links and Information

We have put together the following list of links to information we believe will be helpful to you in caring for your child. Please read the following before accessing any information contained on this page.

This information is for reference purposes only and does not necessarily reflect the views of Jeffers, Mann and Artman Pediatrics nor is this information intended as a substitute for professional medical care. By using this information you agree that you understand these terms and that you will not hold Jeffers, Mann and Artman Pediatric and Adolescent Medicine responsible for any information or consequences as a result.