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Women’s Health Library

Our Health Library information does not replace the advice of a doctor. Please be advised that this information is made available to assist our patients to learn more about their health. Our providers may not see and/or treat all topics found herein.

Treatment Plan Record for a Child With ADHD

Overview

Use this form to record information about your child's treatment plan for attention deficit hyperactivity disorder (ADHD). Review the plan with your doctor often. Together you can keep the plan up to date.

My child's main symptom of ADHD is (inattention, impulsiveness, or hyperactivity) ______________________.

An example of this symptom is:


My child expresses the other symptoms of ADHD in the following ways.


My child takes the following medicine for ADHD at the listed times.


My child has the following learning disabilities or other medical conditions often associated with ADHD. (If not applicable, cross out this statement.)


We are helping my child control the following behavior.


We are using the following consequences or methods to help my child control behavior.


My child is participating in a social skills training program to learn:


Other things about my child's health:


Related Information

Credits

Current as of: June 24, 2023

Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

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Telehealth & COVID-19

Telehealth Visits are available. Request by calling (650) 239-5303 or  click “Request Appointment” above. We have a secure HIPAA compliant platform that allows me discuss your health matters privately. If you need an in person visit, please know we are using CDC guidelines of distancing patients and disinfecting. Masks are mandatory for all staff and patients. Dr Serrato does not see COVID patients here nor those with any respiratory symptoms. Your safety is of the utmost concern to me.… Continue Reading