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Designed for ADHD diagnostic visits where childhood history, current impairment, differentials, and rating-scale context all need to land in one note.
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ADHD Evaluation Note Reason for Evaluation - Referral source and patient goals for assessment. Symptom History - Inattention, hyperactivity, impulsivity symptoms with examples and onset (childhood when available). - Current functional impairment at work/school/home. Collateral / Developmental History - Academic history, prior evaluations, learning differences, and caregiver/partner observations if available. Screening / Rating Scales - Document scales discussed (e.g., ASRS, Vanderbilt) and scores if provided—do not invent scores. Differential Considerations - Anxiety, depression, trauma, sleep disorders, substance use, and other conditions that can mimic or co-occur with ADHD. Mental Status Examination - Focused MSE with attention, activity level, and organization of thought. Assessment - ADHD diagnostic impression (presentation type) and comorbidities. Plan - Further testing/collateral needed, behavioral strategies, medication discussion, monitoring, and follow-up.
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