It’s essential for Aris Clinic staff to gather thorough clinical information about a child or teen to determine if she/he fits our program. Follow the steps below to complete and submit the Pediatric Needs Assessment form.
1. Complete the Pediatric Assessment Form electronically.
Forms can be filled out, saved, and viewed on a PC or Mac. For best results with typing and saving your information, please use Adobe Acrobat Reader DC. You can download a free version here.
If you experience trouble using the form electronically, please print the form and mail, fax or drop it off at our office. Forms should not be completed or saved and viewed using an iPad or iPhone device.
2. Submit the Pediatric Assessment form and requested documents.
Forms/documents can be submitted via:
3. We will review your Pediatric Assessment form and contact you to schedule a Free Assessment Appointment.
This meeting allows us to know more about your situation and for you to learn more about our Intensive Outpatient Program. Both the child and parents should attend. After the session we will contact you with a decision if the child/adolescent is approved for our program or if we would recommend another course of treatment in the mental health treatment spectrum. If not approved, we’ll provide alternative resources, if possible.
See our Care Levels diagram for more information on the mental health treatment spectrum.
4. Once your child/adolescent has been approved for admission, we’ll contact you to set up an intake date and time.
Admitting a child to an intensive outpatient program is a big decision for parents and guardians. We know that you may be feeling exhausted and alone on every level. Our compassionate staff is here to help by making admissions as easy as possible. Please contact us with any questions at 651-259-9750 or email@example.com.
If you’re concerned that a child/adolescent is an immediate danger to him/herself, others or significantly disabled, go to the nearest emergency room for an evaluation or dial 911.
1 in 5 children ages 13-18 in the U.S. need mental health services; only 20% are likely to receive professional help
Source: National Institute of Mental Health