NICHQ Vanderbilt Parent Form
NICHQ Vanderbilt Assessment Scale - PARENT Informant





Directions: Each rating should be considered in the context of what is appropriate for the age of your child. When completing this form, please think about your child's behaviors in the past 6 months.


Symptoms

















































Performance









For Official Use Only









Contact Us

If you are an established patient, please use the portal.  Click below to go to the portal website:  If you are not already registered for the portal, you may call the office to sign-up.

Lighthouse Pediatrics Portal

You may use the form below to request NON-urgent appointments.  Please do not include personal health information.

Our Location

Office Hours
Monday:8:30 AM - 5:00 PM
Tuesday:8:30 AM - 5:00 PM
Wednesday:8:30 AM - 5:00 PM
Thursday:8:30 AM - 5:00 PM
Friday:8:30 AM - 5:00 PM
Saturday:Closed
Sunday:Closed