SYMPTOM INVENTORIES
*Screens for over 12 psychological disorders.
Helps in the screening for other difficulties a child may be enduring.


Each link includes a parent/teacher form. 
*Therefore, please supply this form (with the SM School Eval Form) to your classroom teacher or school professional who knows your child best.
Choose the appropriate age group.

**If your child is 'almost 6' but not yet 6, then choose the 3-5 yr inventory
** If your child is OUT of the age range (either too young or too old), please disregard this form.

You can fax form below to: 215-827-5722  or mail to our Center with other required documents.

SYMPTOM INVENTORY: '3 years- 5 yrs old  --->GO      OR         SYMPTOM INVENTORY: 6-12 years old --->GO If you do not have Adobe Acrobat to read a PDF file click the button below to download it now:

SM School Evaluation Form (C) Dr. Elisa Shipon-Blum and SMart Center
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Reproduction Permissible