School/Clinic Collaboration - How Do Professionals Communicate About Clients?
This survey includes questions regarding the most typical methods through which information about school aged children is shared among professionals. Information that might be shared would include school information (academic performance, behavioral concerns, medication effects) and clinician recommendations (diagnoses, medication effects, recommendations) are shared.

Individuals who participate may be interested in using the survey results to facilitate communication about client needs. The information collected in this survey will be shared with district personnel and the public in order to provide description of current communication practices.

Participation is requested, but not required. There is no penalty for refusing to participate or for withdrawing from the survey. There are no expected risks with completing this survey. The survey will take approximately 20 minutes to complete. There is no compensation for participation.

Questions may be directed to carmen.broussard@nicholls.edu

"I have been informed about the procedures described above and the potential risks and benefits of the research project. I have had the opportunity to ask questions about the research procedures which have been explained to me. I understand that this project and this consent form have been approved by the Nicholls State University, Human Subjects Institutional Review Board which ensures that research projects follow Nicholls State University policies and procedures and comply with federal guidelines. If I have any questions about my participation in this research project, I was informed that I may call the Chairperson of the Human Subjects Institutional review Board at (504) 448-4349.

I understand that I am free to withdraw my consent to participate in this research project at any time without penalty or prejudice. In addition, I understand that I will not be identified as a participant in this project.

I have been informed that any modifications of the experimental protocol which might affect my consent or willingness to participate will be provided to me. Finally, I have been provided an opportunity to be informed of the results of this study once it has been completed."

1. How do you typically obtain psychological report information for a child who has received an evaluation by licensed psychologist? (check all that apply)
2. How do you typically obtain information about a child’s prescribed medication by medical psychologist or other prescriber? (check all that apply)
3. How do you typically communicate with an medical psychologist/licensed psychologist or other prescriber? (check all that apply):
4. How do you typically share observed medication effects/side effects to a prescriber? (check all that apply)
5. How do you typically interact with a representative of a psychologist or prescriber? (e.g., nurse, assistant)
6. How do you typically interact directly with psychologist or prescriber? (check all that apply)
7. What is your preferred method of interaction with psychologists or prescribers?
Your answer
8. What information should be shared about the client?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of NICHOLLS Students!. Report Abuse - Terms of Service - Additional Terms