Initial New Client Biofeedback Child (12 & Under) Intake

1. Client Contract
2. Initial Treatment Questions
3. Authorization to Use or Disclose Protected Health Information

This scale is for the child’s parent to fill out

1. SNAP-IV Rating Scale

The next two questionnaires are for the child to fill out.

1. Center for Epidemiological Studies Depression Scale for Children
2. Screen for Child Anxiety Related Disorders (SCARED)