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    This document is a letterhead from Altamonte Pediatric Associates, a pediatric practice in Florida with six pediatricians. It lists the practice's three office locations in Altamonte Springs, Lake Mary, and Apopka, Florida, as well as their website. The practice focuses exclusively on infants, children, and adolescents.

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    This document is a letterhead from Altamonte Pediatric Associates, a pediatric practice in Florida with six pediatricians. It lists the practice's three office locations in Altamonte Springs, Lake Mary, and Apopka, Florida, as well as their website. The practice focuses exclusively on infants, children, and adolescents.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    15 views1 page

    Abbreviated Corner Rating Scale

    Uploaded by

    samirataufik
    This document is a letterhead from Altamonte Pediatric Associates, a pediatric practice in Florida with six pediatricians. It lists the practice's three office locations in Altamonte Springs, Lake Mary, and Apopka, Florida, as well as their website. The practice focuses exclusively on infants, children, and adolescents.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    ALTAMONTE PEDIATRIC ASSOCIATES

    PRACTICE LIMITED TO INFANTS, CHILDREN AND ADOLESCENTS

    Edward N. Zissman, M.D., F.A.A.P. Jaime E. Candelori, M.D., F.A.A.P.


    Wayne D. Soven, M.D., F.A.A.P. Brain E. Harris, M.D., F.A.A.P.
    Janet M. Belton, M.D., F.A.A.P. Cheryl M. McLemore, M.D., F.A.A.P.

    475 Osceola St., #1100, Altamonte Springs, FL 32701


    101 N. Country Club Rd., #116, Lake Mary, FL 32746
    2271 E. Semoran Blvd., Apopka, Fl 32703
    www.altamontepediatrics.com

    Phone: (407) 831-6200 Fax: (407) 831-1068



    

    Child's Name: _______________________________________________Dr.'s Name______________________________

    Teacher's Name: ____________________________________________Subject_________________________________

    Information obtained Date: ______________ Time of Day Observed: _______________________


    Mo / Day /Yr.

    DEGREE OF ACTIVITY

    TEACHER'S OBSERVATION Not at All Just a Little Pretty Much Very Much

    Fails to finish things he/she starts

    Can't concentrate, can't pay attention for long

    Can't sit still, restless, or hyperactive

    Fidgets

    Daydreams or gets lost in his/her thoughts

    Impulsive or acts without thinking

    Difficulty following directions

    Talks out of turn

    Messy work

    Inattentive, easily distracted

    Talks too much

    Fails to carry out assigned tasks

    OTHER COMMENTS

    ___________________________________________________________________________________________________________

    ___________________________________________________________________________________________________________

    ___________________________________________________________________________________________________________

    ___________________________________________________________________________________________________________

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