Before televideo meetings, please click on the #1 Combined New
Patient Information form, or use the #2 Televideo consent form
only (for Dr. Azrin or Dr. Millsaps) if you have already filled
out the New Patient Information form.
Please click on the Release to give us a release to contact your
referral doctor, other doctors, or any family/friends you would like
us to be able to speak to:
#1 Combined New
Patient Information, Release of Information, and Televideo consent
#2 Dr.
Azrin Televideo Consent form only
#2 Dr. Millsaps
Televideo Consent form only
Release of Information Form Only
AND
Please click here
for the forms you will need to complete and bring in for your
child's evaluation
If already
prescribed, ask your doctor if it is alright to skip a day of
stimulant medications.
If they approve, then don’t give stimulant medications to
the child (Ritalin, Adderall, Concerta, Metadate, etc.), but
bring stimulant medications with you. We perform part of the
evaluation prior to giving stimulants. Then we will give the
medications prior to continuing testing. Give child breakfast / a
good night sleep before the evaluation, and bring snacks/drinks for
patient, if possible.
Please bring the bottles for all your child’s current
medications or a list of the exact names, daily dosages, and who
prescribed them.
Please have
all teachers fill out the Teacher Report Form (make
copies as needed). All
parents/guardians should complete their own Child Behavior
Checklist separately.
Please bring all forms to this appointment,
completed.
A lunch break
will usually be taken at noon, unless testing can finish by 1
pm. Overall, the
testing usually lasts from 5 to 8 hours. Dr. Azrin will spend time
with you and your child getting background information and
testing. Many children
need short rest breaks.
Most children find the assessment interesting, fun, and
worthwhile. Testing is
often split up over 2-3 days.
These
assessments are commonly requested for individuals who have
attention deficit disorder, learning disability, or who have
experienced an accident, illness, seizure, psychological
difficulties, stroke, or anything that may change the way their
brain works. The
evaluation is designed to assess what changes have occurred or
problems children have, and look at what this means to your child’s
life. Here are a few
common situations that bring people to a
neuropsychologist:
·
A child is
having difficulty with behavior or schoolwork and teachers have
raised the question of a learning disability, attention deficit
disorder, processing disorder, or some other developmental
disorder.
·
A child begins
to notice a problem with forgetfulness after suffering a head injury
in an accident.
·
A child is
depressed or anxious and their ability to think has become
worse.
·
A child has
suffered some injury to their brain, and they may now have
difficulty functioning in some areas of their
lives.
Richard L.
Azrin, Ph.D., is a Licensed Psychologist and Clinical
Neuropsychologist. A
neuropsychologist has specialized training in understanding how our
brain works and how it affects our behavior, thinking, and
personality.
Dr. Azrin will
be assessing specific skills using a wide range of activities. These skills include
concentration, memory, language, & problem solving. Tests include answering
questions, remembering certain information and writing things
down. The
neuropsychological assessment does not involve a medical check-up,
or a psychiatric assessment.
The
results of the tests will usually be explained in a follow-up
appointment after
the evaluation is completed.
Every effort will be made to help you understand your child’s
strength and problem areas, and what they might mean to your child’s
life (e.g., school opportunities and day-to-day situations). This will help you look at
ways to get around some of the problem areas, and help plan for the
future. We look forward
to meeting with you and your child. Thank you for your time and
effort.
Please click here for
directions and to see the map to our
offices |