Parent Questionnaire

Please press one of the buttons to download the appropriate PDF questionnaire for your child's age.


Once downloaded, you can

1) Print off and complete the questionnaire by hand then return it to the referring physician 

2) Click on this link                                   ( where you can then upload the PDF file, complete it with their free online program, save the completed file back to your computer then e-mail it to the referring physician's office or to my office if they don't have e-mail- in which case, make sure you write down who the referring physician is.


A Teenager's Guide to Life


Free PDF Download Now!

To order a print copy of the book, visit, or 
ISBN # 9780987672407

Dr. Templeman Child & Adolescent Psychiatry

151 Pine Valley Drive

London, Ontario N6J 4M2

I do not provide emergency psychiatric care.  If you have a psychiatric emergency, please go to the nearest ER.
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© 2019 by Dr. David Templeman.