Forms and Measures

EPSDT

FORMS
MEASURES

 

The PSC-35 is available in the following threshold languages:

English* Farsi
Spanish Vietnamese
Filipino Korean
Armenian Khmer
Arabic Russian
Chinese Persian

 

Link to translations: https://www.massgeneral.org/psychiatry/treatments-and-services/pediatric-symptom-checklist

*While the PSC-35 is available in the above languages to help caregivers answer questions in their primary language, an English version needs to be included in the client’s clinical record.

Please note: LA County’s PSC-35 (English version) has additional questions you will need to answer about respondent’s relationship to the child/adolescent, assessment type and caregiver’s responsiveness to the assessment process.