Printable Forms
- Prenatal Interview (PDF)
- M-CHAT Survey (Autism) (PDF)
- Vanderbilt Assessment Scales (ADHD) (PDF)
- Patient Health Questionnaire – 9 (PHQ-9) (PDF)
- Screen for Child Anxiety Related Disorders (SCARED) – Child (PDF)
- Screen for Child Anxiety Related Disorders (SCARED) – Parent (PDF)
- Missouri Sports Participation (PDF)
- Virtual Visits – Zoom Guide (PDF)
- Virtual Visits – Consent: PDF; Microsoft Word
Chadis (Child Health & Development Interactive System)
Chadis is an online system that allows you to log-in and complete questionnaires at home before your visit. This helps:
- Share your priorities with the doctor before entering the exam room
- Evaluate your child’s health, behavior or development
- Determine if your child is progressing on schedule for their age
To use Chadis, go to CHADIS.com one week before every well-child visit. Log-in and take the questionnaires listed there.
New users: Use the invitation code: 6363495437
Returning users: Use your Chadis username and password
This is a service that is billed to your insurance. If it is not covered you will be charged a fee of $10 for each CHADIS report.
Medical Records Request Forms
Dates of service before 4/1/2019:
Dates of service after 4/1/2019:
You may obtain a copy of your medical record created by and/or maintained by your Washington University Physicians provider by clicking here.