Forms
Medical Records
pediatric clinic
- Allergy Questionnaire 0-6 years
- Allergy Questionnaire 7-17 years
- LILA – Quality of Life with Respiratory Allergies
- Enuresis Questionnaire
- Constipation Questionnaire
- Headache Questionnaire
- Registration Form for Childhood Obesity
- Assessment Form for Eating Disorders
- MFQ Brief Self-Assessment Children
Mental Health
- Nordic Assessment Form for Child and Youth Development and Behavior (for parents)
- Nordic Assessment Form for Child and Youth Development and Behavior (for teachers)
- Referral for assessment of children and adolescents with suspected neurodevelopmental disorders
- SNAP IV
- Treatment Consent Form
- Assessment Consent Form
Certificates
Certificate Fees
According to a decision by Region Stockholm, healthcare providers are entitled to charge a fee for certain certificates.
The following certificates are subject to a fee:
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Certificates for the Swedish Transport Agency regarding driving licences, certain medications and medical fitness, for example ADHD/ADD
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Cancellation of travel due to medical reasons
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Certificates confirming possession of medication when travelling
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Certificates relating to preschool and school attendance, including certificates concerning children’s preschool or school situation, such as special dietary requirements and allergies
The fee is determined in accordance with Region Stockholm’s applicable fee schedule and may therefore be subject to change.
For current fees, please refer to Region Stockholm’s applicable fee schedule for certificates and medical statements. Click here to see the current fees for certificates, vaccinations and health examinations on 1177.
Certificates covered by the region’s rules on fee exemptions are issued free of charge. This includes, among others, certificates for the Swedish Social Insurance Agency (Försäkringskassan), as well as certificates for parking permits, transport services (färdtjänst), legal guardianship and services under the Swedish Act concerning Support and Service for Persons with Certain Functional Impairments (LSS).
