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  • ADHD Follow Up Visit Note

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    Solange Adams
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    1) The patient presents for follow-up of ADHD symptoms which are well-controlled during the time the medication is active, which parents report is around 6 hours. 2) The patient has had no issues with appetite, sleep, depression, anxiety, aggression or rebound irritability. 3) The assessment is ADHD, combined type and the plan is to follow up in 3 months or sooner if any concerns arise regarding efficacy, school performance, behavior, mood or new medical problems. Telemedicine may be used.

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    1) The patient presents for follow-up of ADHD symptoms which are well-controlled during the time the medication is active, which parents report is around 6 hours. 2) The patient has had no issues with appetite, sleep, depression, anxiety, aggression or rebound irritability. 3) The assessment is ADHD, combined type and the plan is to follow up in 3 months or sooner if any concerns arise regarding efficacy, school performance, behavior, mood or new medical problems. Telemedicine may be used.

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    © All Rights Reserved
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    12 views1 page

    ADHD Follow Up Visit Note

    Uploaded by

    Solange Adams
    1) The patient presents for follow-up of ADHD symptoms which are well-controlled during the time the medication is active, which parents report is around 6 hours. 2) The patient has had no issues with appetite, sleep, depression, anxiety, aggression or rebound irritability. 3) The assessment is ADHD, combined type and the plan is to follow up in 3 months or sooner if any concerns arise regarding efficacy, school performance, behavior, mood or new medical problems. Telemedicine may be used.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    Pt is a *** who presents for follow up of ADHD.

    Parents report good control of symptoms


    during the time that the medicine is in his system. Parents believe that a single dose of
    the current medicine last approximately *** hours. At home, the medicine is given
    occasionally on the weekends and summer. Most recent teacher feedback is positive.
    Pt has had good grades and has not been disruptive in class. Timing of the medicine
    appears to be appropriate throughout the entire day.

    Pt has had a good appetite, especially when the medicine is not on board.
    Pt has been sleeping well.
    No comorbidities have been noticed including depression, anxiety, or aggression.
    No rebound irritability has been noticed at home or school.

    Assessment:
    Attention deficit hyperactivity disorder (ADHD), combined type - F90.2

    Plan:

    Goals for treatment discussed, all questions and concerns were answered. Any
    concerns for changes in efficacy, school performance, behavior, mood swings, or
    development of new medical problems should be brought to my attention.

    Follow up in 3 months, sooner for problems or concerns.

    May use telemedicine for follow-up visit if desired.

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