Quick Assessment

The confusion, frustration and desperation associated with a troubled teen can be extremely difficult for parents and family. Cedar Ridge Admissions Counselors are standing by to help assess if our therapeutic healing program is the best fit for you, your struggling teen and your family. Please complete the following form to help us learn about your troubled teen so we may provide you with help and information that may assist your family.

DIRECTIONS:

  • The assessment is only to be completed for children that are 12-17 years old.
  • Fill out the evaluation test for ONE child only.
  • Read each statement carefully.
  • Select the option that most accurately describes your child.

Child Information

 

Parent/Guardian Information

 

Assessment

 

Other Information

 

Insurance

 

Verification