ADHD Diagnostic Information

Dear Parents, 

One of the services we offer at our office is the comprehensive evaluation of your child for Attention Deficit/Hyperactivity Disorder (ADHD). There are several components for parents and school teachers to fill out that allows for an accurate and thorough diagnosis. Please call our office for more information and come to pick up the ready-made packet that we can provide you to fill out and give to the child’s teachers.

There is a $15 charge for children and $25 teenagers to cover the cost of these forms.

Parents filling out the Vanderbilt (hard copy) and Conners (online) forms: please try to work together to complete them, if this is not possible please indicate which parent is filling out the form. 

Teachers must complete the 3 components: Vanderbilt (hard copy) + Connors (online) + Narratives. Elementary school students require the 3 components from 2 teachers and Middle/High School students require them from 4 teachers.

At least HALF of the teachers should teach core subjects (math, english, history, science)

Elementary ADHD Packet Checklist

Middle/High ADHD Packet Checklist

Your child's ADHD Consultative appointment can only be scheduled AFTER we have the completed packet in our office. Please give the completed Parent Vanderbilt form in a sealed envelope to the homeroom teacher (elementary) or counselor (middle/high) and have the school mail us the completed packet with relevant components. 

Your first appointment will usually only require the parents to be present. Please try not to bring siblings along in order to focus as efficiently as possible. Keep in mind the first 10-20 minutes of your appointment is for the provider to review documentation.



Form Links for Emergency Use

(Do NOT use these links - only for when paper forms are not available.)

  1. Parent Vanderbilt 
  2. Parent Conners 
  3. Self-Assessment Conners
  4. Itemized Current Class Grade Reports 
  5. Teacher Vanderbilt Assessments 
  6. Teacher Conners Assessments

Contact Us

Our Location

13880 Braddock Road Suite 201 Centreville, VA 20121

Hours of Operation

Our phones are only open 8AM to 5PM M-F and Saturday 8:30-10. Below are the times that patients are scheduled. We close for lunch 1:00 PM to 1:30 PM.

Union Mill Pediatrics

Monday:

7:30 am-7:00 pm

Tuesday:

7:30 am-7:30 pm

Wednesday:

7:30 am-7:30 pm

Thursday:

7:30 am-6:00 pm

Friday:

7:30 am-6:00 pm

Saturday:

8:30 am-10:00 am

Sunday:

Closed