The code block below illustrates how one might use # and // as comments in your logic and calculations.

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The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

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Required format:

peRNfWYswRRHdsSWyZqgfhdnszrEenxAQC2sfG

Psychosocial Assessment Tool

Returning?

A A A

As part of your comprehensive care at Dana-Farber / Boston Children’s Hospital, we are committed to better understanding and caring for your child and your family. As part of our standard of care, all families are asked to complete this form called the Psychosocial Assessment Tool (PAT).

The PAT should take approximately 10 minutes to finish. You can stop and return to the survey later by clicking the "Save & Return Later" button at the bottom of the page. When logging back in select "Returning" at the top right-hand side and follow the prompts to return to where you left off.

Once completed, the PAT will be scanned directly into your child’s medical record. This information will help us to provide the best psychosocial care for your family. You will also be contacted by a psychosocial clinician for an initial meeting.

If you have previously filled out this form in relation to your child's care at Dana-Farber or Boston Children's you do not need to complete it again.

Thank you for your time and please do not hesitate to contact PsychosocialAssessmentTool@dfci.harvard.edu with any questions.

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.