ADHD Re-Check Child's Name(Required) First Last Parent/Caregiver's Name(Required) First Last Describe how symptoms have improved, worsened, or remained the same since the last visit.(Required)Describe overall behavior at home.(Required)Describe overall behavior at school.(Required)Describe your child's academic performance, including grade level and school district.(Required)List and describe any supportive therapies (IEP/504) used at school.(Required)Are you currently following with any mental health providers?(Required) Yes No Please list in detail.(Required)List any current medications.(Required)CAPTCHA
