FORMS

For Young Children Less than 6 years of Age
Parent Questionnaire for Children less than 6 years (PDF)
Teacher Questionnaire for Pre-K and Kindergarten (PDF)

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For Children Ages 6-12
Parent Questionnaire for Ages 6-12 (PDF)
Teacher Questionnaire for 1st-6th Grade (PDF)

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For Teenagers Ages 12-18
Adolescent Self Report Form (PDF)

Parent Questionnaire for Ages 12-18 (PDF)
Teacher Questionnaire for 7th-12th Grade (PDF)

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For Adults
Intake Form (PDF)

 

Release of Information

Release Form (PDF)
 

For further information about Dr. Robert Wells' training

or background, please see Dr. Wells' Curriculum Vitae.

Licensed Clinical Psychologist

DR. ROBERT D. WELLS, Ph.D. & ASSOCIATES

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