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The Patient Health Questionnaire (PHQ9) Modified for Adolescents Patient Name Date of Birth: Sex: Date: Over the past 7 days, how often have you been bothered by any of the following problems? Not
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How to fill out modified for adolescents

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Start by providing the necessary details such as the name and age of the adolescent.
02
Next, fill out any sections that require information specific to the adolescent's needs or circumstances, such as medical history or educational background.
03
Make sure to accurately complete any checkboxes or multiple-choice questions based on the adolescent's situation.
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Review the form for any errors or missing information before submitting it.
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Finally, sign and date the form as required, and ensure that any additional supporting documents or signatures are included if necessary.

Who needs modified for adolescents?

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Modified forms for adolescents may be needed by various entities such as schools, healthcare providers, social service agencies, or legal authorities.
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Specific individuals who may require these modified forms include adolescents with special educational needs, adolescents seeking medical treatment or counseling, or those involved in legal proceedings.
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These modified forms ensure that the information collected is appropriate for and applicable to the age group and circumstances of the adolescent, while also considering their rights and confidentiality.
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The modification for adolescents refers to the required changes or adjustments made specifically for individuals in the adolescent age group.
Parents or guardians of adolescents are typically required to file modified forms on behalf of the adolescent.
To fill out modified forms for adolescents, parents or guardians should provide accurate information about the adolescent's needs, preferences, and any necessary modifications.
The purpose of modified forms for adolescents is to ensure that their unique requirements are accommodated in various settings such as schools, recreational activities, and healthcare.
Information that must be reported on modified forms for adolescents may include medical conditions, educational accommodations, dietary restrictions, and communication preferences.
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