Child Information Survey
Davidson Forensic Group
Pacific Northwest: 800 W. Main STE 1460, Boise, ID 83702
Southwest, Midwest and East: 6860 North Dallas Pkwy STE 200, Dallas, TX 75204
Office (208) 401-9292 Fax (888) 567-9673
 
Save & Return Account: DO THIS FIRST! IF YOU ATTEMPT TO DO THIS LATER, ALL OF YOUR WORK ON THIS FORM WILL BE ERASED AND YOU WILL HAVE TO START OVER.
New Users / Returning Users CLICK HERE to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish. The account you establish is only for this form.
THIS INFORMATION IS NOT CONFIDENTIAL UNLESS RETAINED AS AN ATTORNEY CONSULTANT

Reason For This Form

The purpose of this form is to gather information about your children. Please complete this form yourself. Do not have anyone else complete the form for you. Please answer the questions honestly and to the best of your ability. Do not discuss your answers with anyone else until after you have return this form. Feel free to look up any information that you do not remember. This is not a test of your grammar or spelling. Your answers do not have to be exhaustive - you will have time to elaborate on any issue during your face-to-face interviews. A copy of your completed form can be provided to you at your request. Please email any questions or concerns to Dr. Davidson.

Child Information

Gender *
Role *

Your Child's Background

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Your Child's Education

Schools/Day Care (List Grades, Name, City). **Hit Return After Each School Change to Open A New Line**
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Extracurriculars (Days and Hours). **List Each One Then Hit Return to Open A New Line**
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Your Child's Medical History

Current Medications (Name, Dose, Reason - hit Return after each one)
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Medication or Seasonal Allergies (hit Return after each one)
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Your Child's Behavioral Health History

Current Medications (Name, Dose, Reason - hit Return after each one)
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Has your child ever attended or experienced:
Has your child ever experienced:

Your Child's Legal History

Your Case and Your Child

Has the child said anything to you regarding their feelings and preferences about parenting, visitation or residence?

I certify that I have completed this form accurately, to the best of my ability, and without the assistance of others. (You will be asked to sign this form at your initial meeting).

Signature (Sign Using Mouse or Similar) *
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©  2014 James Davidson Ph.D.