Child Health Library

Healthwise

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:


Credits

Current as of: July 31, 2024

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

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Credits

Current as of: July 31, 2024

Author: Ignite Healthwise, LLC Staff

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

🌞 Summer Camp Forms Reminder!

Help us help you—turn in your forms early!
  • Camp season is here! If your child needs a camp form completed, please submit it as soon as possible.
  • Longer turnaround times are expected due to increased summer volume.
  • Forms can be uploaded through the Patient Portal and will be returned there once completed. Please ensure that all pertinent information is filled out prior to sending or else it will be returned to the caregiver.
  • Submitting early helps us ensure your child is ready for summer fun!