Service Overview

If you have been contacted by the SVV Referral Team, you may have been asked to complete some of the questionnaires below.  These must be completed and returned to hweicbenh.svv.referrals@nhs.net or in person to your surgery.

ASD (Under 16):

• ASD School Questionnaire – asd-sq-nov-2020
• ASD Parent Carer Assessment – asd-parent-carer-preassessment-information-nov-2020

ASD (16-18):

• CAST – CAST
• AQ – AQ2
• ASD Questions 16-18 – ASD questions 16-18

ASD (18+):

• AQ – AQ2
• EQ – EQ2
• SCQ – SCQ_Lifetime_Ages-5-and-up

ADHD (Under 16) – Primary School Children

• ADHD Consent Form – ADHD Consent Form
• Child and Family Information Form Pre Clinic – Child and Family Information Form Pre Clinic
• Childhood Behaviour Scale – Parent Report – Childhood Behaviour Scale – Parent Report
• Intellectual Disabilities Screening Questionnaire – Primary School – Intellectual Disabilities Screening Questionnaire – Primary School
• NICHQ Parent Form – NICHQ Parent Form Blank
• NICHQ Teacher Form – NICHQ Teacher Blank
• Teacher Feedback Form – Teacher Feedback Form Blank
• WFIRS form ADHD – WFIRS form ADHD

ADHD (Under 16) – Secondary School Children

• ADHD Consent Form – ADHD Consent Form
• Child and Family Information From – Pre Clinic – Secondary School – Child and Family Information From – Pre Clinic – Secondary School
• Childhood Behaviour Scale – Parent Report – Childhood Behaviour Scale – Parent Report
• Intellectual Difficulties Screening Questionnaire – Secondary School – Intellectual Difficulties Screening Questionnaire – Secondary School
• NICHQ Teacher Form – NICHQ Teacher Blank
• NICHQ Vanderbilt Assessment Scale – Parent Information – Secondary School – NICHQ Vanderbilt Assessment Scale – Parent Information – Secondary School
• Teacher Feedback Form – Teacher Feedback Form Blank
• WFIRS (WFIRS-P) – Parent – Secondary School – WFIRS (WFIRS-P) – Parent – Secondary School

• Consent Form – ADHD consent form blank
• Parent/Guardian Assessment Form – SSC – Assessment Form
• Teacher Feedback Form – SSC Teacher Feedback Form

ADHD (18+):

Please be aware, at this time (October 2024) the local NHS 18+ ADHD referral pathway has changed. This means ADHD referrals with no other complexity may not be accepted. At your screening appointment we can discuss managing symptoms and support resources. However, we are unaware when the pathway will re open.

• Weiss Questionnaire – Weiss-Adult-ADHD-Rating-Scale
• Alcohol Audit – Alcohol AUDIT Tool
• ADHD Questions – ADHD Questions