Participate in ADHD & Mood Research for Children and Adolescents

The UCLA ADHD, Irritability, and Mood Dysregulation treatment studies group conducts many studies for individuals with ADHD and related disorders. Please complete this form if you would like a UCLA team member to contact you to determine if your child is eligible to participate in a study.

Your answers help determine which study your child may be eligible to join. Your answers are confidential. If you have any questions about this form or our studies, please call the UCLA ADHD, Irritability, and Mood Dysregulation treatment studies group at 310.825.6170. If you have any questions about your rights as a research participant, please call the UCLA Office for Protection of Research Subjects at 310.825.8714.

How old is your child?

Does your child have trouble paying attention in school or make careless mistakes in schoolwork?

Yes

Are there times when little distractions make it very hard for your child to keep his/her mind on what he/she is doing?

Yes

Are there times when your child gets out of his/her seat a lot in school/at the dinner table, or finds it hard to sit still?

Yes

Does your child tend to act without thinking?

Yes

I need to get some additional information to set up a phone appointment:

Your name

Your child's name

Address

Phone

Email Address

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