Burlington Family Practice
Scheduling An Appointment? 1041 Kirkpatrick Rd., Suite 200, Burlington, NC 27215 | Call 336-584-3100 | Fax 336-584-0696 Home
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ADHD Initial Evaluation Form
Please complete the PARENT informant questionnaire (D3) and have the child's teacher complete the TEACHER informant questionnaire (D4) and bring to your child's initial ADHD evaluation.

Follow Up Forms
Please complete the PARENT informant questionnaire (D5) and have the child's teacher complete the TEACHER informant questionnaire (D6) and bring to your child's follow up appointment.