PANDAS Follow-up Assessment Form
Please complete this form for your follow-up appointment
Email *
Children's e-Hospital Identity Number *
Todays date *
MM
/
DD
/
YYYY
Child's Name *
What treatment has your child received since your last appointment? *
Required
Please give as much detail about your child's progress since treatment started. If your child has Obsessive Compulsive Behaviour or Tics please fill in the additional assessment forms *
On a scale of 1-10 how much has your child's symptoms improved since treatment started? *
No Improvement
Complete Resolution of Symptoms
Submit
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