ORDER FORM To order the SCID, please print this form, complete it, and mail or fax to: SCID Orders - Biometrics Research Department/Columbia University 1051 Riverside Drive – Unit 60 New York, NY 10032 fax: 212-543-5525 Item SCID-I Research Version (January 2007 version) (includes SCID User's Guide and materials to configure all 3 editions – Patient edition [P], NonPatient edition [NP], & Patient with Psychotic Screen edition [P W/PsyScr] Cost Per Item $50.00 if sent to US address: (no cost for delivery). $70.00 if sent outside US: (includes mandatory $20.00 delivery charge). Note: For educational and non-profit research purposes, you have permission to make as many copies as needed. Note: Clinician Version must be ordered through American Psychiatric Publishing, Inc. See APPI web page (www.appi.org) for details. Bilingual SCID - Spanish SCID for bilingual interviewers with questions in Spanish, criteria in English (translated from April 2005 version) SCID Files in Microsoft Word (January 2007 version). Please note, this is not a computer assisted version, but rather document text files of the SCID. Indicate whether you prefer: $50.00 if sent to US address: (no cost for delivery). $70.00 if sent outside US: (includes mandatory $20.00 delivery charge). $250.00 if sent via e-mail $270.00 if CD-ROM sent to US address: (includes mandatory $20.00 delivery charge). Quantity Total Cost (US Funds) e-mail attachment $300.00 if CD-ROM sent outside US: (includes $50.00 delivery charge). CD-ROM Note: Before sending the SCID files, you must sign a permission form agreeing not to make or disseminate file copies. Click here for Permission Form. SCID Files Upgrade in Microsoft Word (January 2007 version). Available to all previous purchasers of the SCID Electronic Files, a.k.a. SCID-On-Disk. Indicate whether you prefer: e-mail attachment CD-ROM Note: Before sending the SCID files, you must resubmit a permission form agreeing not to make or disseminate file copies. Click here for Permission Form. SCID Files in Microsoft Word Bilingual - Spanish Version (April 2005 version). Please note, this is not a computer assisted version, but rather document text files of the SCID. Indicate whether you prefer: e-mail attachment CD-ROM Note: Before sending the SCID files, you must sign a permission form agreeing not to make or disseminate $25.00 if sent via e-mail $45.00 if CD-ROM sent to US address: (includes mandatory $20.00 delivery charge). $75.00 if CD-ROM sent outside US: (includes $50.00 delivery charge). file copies. Click here for Permission Form SCID-101 for DSM-IV Training Series (Eight DVD’s plus User’s guide)* *Please contact us if videotapes are required. There is limited availability of SCID 101 Training Series on NTSC videotape format. Note: You must have a copy of the SCID-I Research Version in order to follow along with the SCID 101 training series. Please order above if you do not already own a copy. $375.00 if sent to US address: (includes $25.00 delivery charge). $400.00 if sent to Canada address: (includes $50.00 delivery charge). $415.00 if sent outside of US & Canada: (includes $65.00 delivery charge). Recorded SCID Interviews (Each DVD includes a paper SCID completed with consensus ratings.) Note: These interviews have been recorded with actual Patients. As a result, they are available for longterm rental only. Prior to disseminating the Recorded SCID interviews, you must sign a release form affirming your understanding that we may need to recall the DVDs at any time, and agreement not to make or disseminate copies. Click here for form. Please be sure to indicate below which interviews you want and enter quantity requested. Supermom - covers mood, anxiety and eating disorders Supermom II – personality disorders (SCID-II) Born Again - covers mood and psychotic disorders Living on the Edge - covers $100.00 $100.00 $100.00 $100.00 mood, substance use, anxiety and eating disorders Ain’t a Day When I’m Not Sad - covers Mood, Psychotic, and Substance use disorders Outer Space - covers mood disorders Shipping for Recorded SCID Interviews (There is a single delivery charge for this item, even if multiple titles are selected.) $100.00 $100.00 $25.00 if sent to US address 1 $50.00 if sent to Canada $65.00 if sent outside US & Canada Check Make payable to "Biometrics CU Account #4-56427" and mail to: SCID Orders Biometrics Research Department, Columbia University 1051 Riverside Drive – Unit 60 New York, NY 10032 Note: Non-US checks MUST use a bank that has an affiliation in the United States and be presented for payment in U.S. currency. Purchase order enclosed (Official Institution Purchase Order Forms Only) Payment by credit card First and Surname of Purchaser/Credit Cardholder: If Different, Enter the Full Name of the Person who this order is to be delivered to: Name of Institution/Organization: Address 1 (Please note delivery carrier does not deliver to a post office box.) Enter complete street address: Address 2 Suite/Department/Floor or Other Identifying Information: City: State/Province: Postal Code: Fax #: E-mail: Country: Phone: If required, please include other specific shipping instructions: