Sample Clinical Reports
Neurocognitive Assessment Reports:
Use of the CNS Vital Signs auto-scored neurocognitive reports requires a clinical understanding of brain function. CNS Vital Signs does not measure intelligence, personality, or mental illness. It is not intended to supplant a clinician’s diagnosis. It simply yields reliable and valid data concerning the state of the subject’s neurocognitive function at a point in time. It generates useful brain function data quickly and efficiently. CNS Vital Signs Neurocognitive assessments are available in over 50 languages but the reports are presented in English.
The assessment results are presented immediately following the testing session allowing the practice to efficiently use the platform to meet the needs of the practitioners. Reports generated by serial administration can be easily graphed and presented in a longitudinal format. NOTE: A consistent pattern of impairments across domains, or any abnormal classifications, might warrant a more comprehensive neuropsychological evaluation. Similarly, the CNS Vital Signs is not exhaustive and performance within normal limits should not be taken as lack of evidence for cognitive disorders if concerns are still suspected.
Neurocognitive Assessment Report Example CLICK HERE Coming Soon
Neurocognitive Longitudinal Report Example CLICK HERE Coming Soon
Evidence‐Based Medical, Behavior, and Health Rating Scales:
CNS Vital Signs neurocognitive testing provides FREE use of evidence‐based medical and health rating scales that can be applied in a variety of clinical and/or research settings. The rating scales are automatically scored and are generally utilized to help define, categorize, and evaluate important clinical conditions. The rating scales are currently provided as a no cost supplement to the CNS Vital Signs computerized assessment platform and are automatically scored and a report can be printed immediately following completion… enabling enhanced clinical insight and clinic efficiencies.
Each rating scale report has a summary dashboard and response scoring of each individual inquiry. The rating scales are listed by the general condition they are used for.
Broad Neuropsychiatric In-Take and Tracking Instruments: (neurobehavioral status exam CPT 96116 & psychiatric interview and in-take exam 90801)
NeuroPsych Questionnaire (NPQ) LF‐207 Adolescent and Adult neuropsychiatric questionnaire long version is generally used as part of an initial in-take exam and is scored into 20 symptom and behavior categories and 8 possible comorbidities.
NeuroPsych Questionnaire (NPQ) SF‐45 Adolescent and Adult neuropsychiatric questionnaire short version is generally used to check status and track progress during follow-up exam or used when a brief in-take is needed. The NPQ-45 is scored into 12 symptom and behavior categories.
Used with permission; Tom Gualtieri, MD
Quality‐of‐Life Outcomes Tool:
Medical Outcomes Survey (MOS) SF‐36: RAND developed the 36-Item Short Form Health Survey (SF-36) as part of a multi-year, multi-site study to explain variations in patient outcomes. The SF-36 is a set of generic, coherent, and easily administered quality-of-life measures. These measures rely upon patient self-reporting and are now widely utilized by managed care organizations and by Medicare for routine monitoring and assessment of care outcomes in adult patients. Additional Information
AD/HD Tools:
Adult ADHD Self‐Report Scale (ASRS‐v1.1) Symptom Checklist LF‐18 Public Domain Adult ADHD Self‐Report Scales (ASRS); National Comorbidity Survey; Additional Information
Vanderbilt ADHD Diagnostic Parent Rating Scale (VADPRS LF‐53)
Vanderbilt ADHD Diagnostic Teacher Rating Scale (VADTRS LF‐43)
vanderbilt adhd parent follow-up.pdf
Vanderbilt Assessment Follow‐up Teacher Rating Scale (VAFTRS SF‐38)
Additional Information
Brain Injury Tools:
Dizziness Handicap Inventory (DHI) SF‐25; Used with Permission Jacobson GP, Newman CW, The Development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Surg 1990; 116:424‐427; Additional Information
Neurobehavioral Symptom Inventory (NSI) SF‐22; Used with permission: Cicerone,KD: J Head Tr Rehabil 1995;10(3):1‐17; Additional Information
Head Injury Questionnaire (HIQ) LF‐90*; Used with permission; Tom Gualtieri, MD
Memory (MCI ‐ Dementia) Tools:
Stanford Geriatric Depression Scale (SGDS) SF‐15
Stanford Geriatric Depression Scale (SGDS) LF‐30 Public Domain
Additional Information
Memory Questionnaire (MEMQ) SF‐27*; Used with permission; Tom Gualtieri, MD
Pain Tools:
Pain Catastrophizing Scale (PCS) SF‐13; Used with permission: Michael John L. Sullivan, Ph.D.
Additional Information
Cancer Tools:
Childhood Cancer Survivor Study Neurocognitive Questionnaire (CCSS) SF‐25; Krull KR, et. al.
Additional Information
Psychiatric Tools: (Pediatric)
Pediatric Symptom Checklist (PSC) LF‐35
Pediatric Symptom Checklist‐Youth Report (Y‐PSC)
Pediatric Symptom Checklist (PSC‐17) SF‐17 Used with permission copyright 1999 M.S. Jellinek and J.M. Murphy, Massachusetts General Hospital; Additional Information
NeuroPsych Questionnaire (NPQ) LF‐207 Adolescent
NeuroPsych Questionnaire (NPQ) SF‐45 Adolescent; Used with permission; Tom Gualtieri, MD
Screen for Child Anxiety Related Disorders (SCARED) Child Version LF‐41
Screen for Child Anxiety Related Disorders (SCARED) Parent Version LF‐41 Used with permission: Boris Birmaher, M.D., Suneeta Khetarpal, M.D., Marlane Cully, M.Ed., David Brent M.D., and Sandra, McKenzie, Ph.D., Western Psychiatric Institute and Clinic, University of Pgh. (10/95); Additional Information
Child Obsessive‐Compulsive Disorder Inventory (OCD‐C) SF‐20*
Social Anxiety Scale for Children and Adolescents (SASCA) SF‐20* Used with permission; Tom
Gualtieri, MD
Psychiatric Tools: (Adult)
Zung Self-Rating Anxiety Scale (ZSAS) SF-20; Public Domain by by Duke University psychiatrist Dr. William W.K. Zung; The Zung Self-Rating Anxiety Scale is a method of measuring levels of anxiety in patients who have anxiety-related symptoms. Additional Information
Zung Self‐Rating Depression Scale (ZSDS) SF‐20; Public Domain by by Duke University psychiatrist Dr. William W.K. Zung; The Zung Self-Rating Depression Scale is a method of measuring levels of depression in patients who have depressive disorder-related symptoms. Additional Information
PTSD Checklist ‐ Civilian Version (PCL‐C) SF‐17
PTSD Checklist ‐ Military Version (PCL‐M) SF‐17
PTSD Checklist ‐ Stressor Specific Version (PCL‐S) SF‐17 Weathers, F.W., Huska, J.A., Keane, T.M. PCLC for DSM‐IV. Boston: National Center for PTSD – Behavioral Science Division, 1991. Additional Information
Adult Obsessive‐Compulsive Disorder Inventory (OCD‐A) SF‐20*; Used with permission;Tom Gualtieri, MD
NeuroPsych Questionnaire (NPQ) LF‐207 Adult
NeuroPsych Questionnaire (NPQ) SF‐45 Adult; Used with permission; Tom Gualtieri, MD
Sleep Tools:
Sedation Scale (SS) SF‐1
Additional Information
Epworth Sleepiness Scale (ESS) SF‐8
Additional Information
Pittsburgh Sleep Quality Index (PSQI) SF‐10; Public Domain
Additional Information
Substance Abuse Tools:
Alcohol Use Disorders Identification Test (AUDIT) SF-10
Additional Information
Drug Use Questionnaire (DAST) SF‐20; Copyright 1982 by the Addiction Research Foundation. Author: Harvey A. Skinner Ph.D.; Additional Information
Military and Veterans Rating Scales:
Combat Exposure Scale (CES) SF-7; Additional Information
Deployment Risk and Resiliency Inventory; Additional Information
DRRI Section A: Pre-Deployment Life Events SF-15
DRRI Section B: Childhood Experiences SF-15
DRRI Section C: Training and Deployment Preparation SF-14
DRRI Section D: Deployment Environment SF-20
DRRI Section E: Life and Family Concerns SF-14
DRRI Section F: Unit Support SF-12
DRRI Section G: Relationship Within Unit SF-14
DRRI Section H: Deployment Concerns SF-15
DRRI Section I: Combat Experiences SF-15
DRRI Section J: Post-Battle Experiences SF-15
DRRI Section K: Exposure to Nuclear, Biological, Chemical Agents SF-20
DRRI Section L: Post-Deployment Support SF-15
DRRI Section M: Post-Deployment Life Events SF-17
Life Events Checklist (LEC) SF-17 Additional Information
Testing Status Tools:
Alertness Rating Scale (ARS) SF‐1*
Additional Surveys, Scales and Questionnaires (SSQ’s) are being added as we get copyright permission from the authors. The SSQ’s authors have given CNS VS USE permission to make these available for clinical practice. Currently, all SSQ’s are FREE and you won’t be charged a test session when used. *Symptom/Status Questionnaires – Currently NOT Validated.
