Note for exhibits in pediatric forensic toolbox.
These templates in Exhibits A-I represent a sample of the various forms that may be useful in conducting pediatric forensic evaluations. However, these forms or the information within each form may not apply to all practice circumstances or jurisdictions, and therefore should be modified as needed for clinical use.
Exhibit A. Sample Consultant-Attorney Agreement
Exhibit B. Sample Pediatric Forensic Informed Consent Form (Short Version)
Exhibit C. Sample Pediatric Forensic Informed Consent Form (Longer Version)
Exhibit D. Sample Letter to Parents about Neuropsychological Assessment
Exhibit E. Sample Letter to Teacher about Neuropsychological Assessment
Exhibit F. Sample Consent Form for Release of Information from School
Exhibit G. Checklist for a Pediatric Independent Neuropsychological Evaluation Interview
Exhibit H. Sample Traumatic Brain Injury Interview Form
Exhibit I. Sample Background and History Questionnaire