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Pediatric Symptom Checklist17 (PSC17)
Caregiver Completing this Form: ___Date: ___Name of Child: ___
Please mark under the heading
that best fits your child
NEVER
1. Fidgety, unable to sit still2.
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How to fill out pediatric symptom checklist 17
How to fill out pediatric symptom checklist 17
01
Begin by providing basic demographic information of the child, such as name, age, and gender.
02
Go through each item on the checklist and mark the appropriate response for the child's symptoms.
03
Pay attention to the severity of the symptoms and check the corresponding boxes accordingly.
04
Make sure to complete all sections of the checklist thoroughly and accurately.
05
Review the checklist once completed to ensure all necessary information has been filled out.
Who needs pediatric symptom checklist 17?
01
Pediatricians and healthcare professionals use the Pediatric Symptom Checklist 17 to screen for emotional and behavioral issues in children.
02
Parents or guardians of children who may be displaying concerning symptoms can also benefit from using the checklist to help identify any potential problems.
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What is pediatric symptom checklist 17?
Pediatric Symptom Checklist 17 is a screening tool used to assess a child's emotional and behavioral health.
Who is required to file pediatric symptom checklist 17?
Healthcare professionals such as pediatricians, psychologists, and social workers are required to file Pediatric Symptom Checklist 17.
How to fill out pediatric symptom checklist 17?
Pediatric Symptom Checklist 17 can be filled out by marking responses to the questions based on the child's behavior and emotions.
What is the purpose of pediatric symptom checklist 17?
The purpose of Pediatric Symptom Checklist 17 is to identify potential emotional and behavioral issues in children.
What information must be reported on pediatric symptom checklist 17?
The information reported on Pediatric Symptom Checklist 17 includes the child's responses to questions about their behavior and emotions.
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