Filling out medical forms before your ADHD diagnostic appointment is a common practice that helps both you and your healthcare provider.
These forms provide important information about your health history and ADHD symptoms. Filling them out beforehand will help ensure the evaluation is accurate and personalized to your needs, leading to the best possible treatment plan for you!
With the exception of the Pre- Consult Assessment and the WFIRS forms (The Weiss Functional Impairment Rating Scale), which will only be completed once prior to your initial assessment, all other questionnaires will also need to be re-completed before each follow up appointment to assess how you are feeling. You will also fill out the “Medication response form” prior to each follow-up appointment once you have begun taking your medication.
Through a comprehensive evaluation of your well-being and your experiences with your new medications at each follow-up appointment, we can further strengthen our confidence in the suitability of our recommended approach for your current life situation. It allows us to provide you with the best possible support!
Pre Consult Assessment (Prior to initial assessment only)
- This form is filled out prior to your initial assessment to obtain details regarding your social and medical history, habits, relationships, employment or schooling etc...
WFIRS (The Weiss Functional Impairment Rating Scale) (Prior to initial assessment only)
- A widely used assessment tool that measures functional impairment in individuals with attention-deficit/hyperactivity disorder (ADHD). It evaluates how ADHD symptoms affect a person's daily life and functioning across various domains, including work, social activities, family life, and academic performance.
ASRS (ADULT ADHD SELF-REPORT SCALE) (Prior to initial assessment & before each follow up)
- ADHD symptoms and functional impairment overlap but are distinct concepts. Assessing both is crucial, as some individuals may exhibit prominent symptoms without significant impairment, while others might experience impairment despite milder symptoms. This scale includes items that best reflect the treatment objectives for the patient. Consequently, employing the scale before and after treatment enables the clinician to gauge the improvement in ADHD symptoms as well as the amelioration of the patient's functional challenges.
PHQ 9 (Patient Health Questionnaire) (Prior to initial assessment & before each follow up)
- The PHQ-9 serves as a versatile tool used for screening, diagnosing, monitoring, and assessing the severity of depression. It efficiently combines DSM-IV depression diagnostic criteria (Diagnostic and Statistical Manual of Mental Disorders), with other key indicators of major depressive symptoms, creating a concise self-report instrument.
GAD-7 (Generalized Anxiety Disorder) (Prior to initial assessment & before each follow up)
- This self-administered 7-item instrument utilizes specific DSM-V criteria (Diagnostic and Statistical Manual of Mental Disorders) for General Anxiety Disorder (GAD) to identify potential cases of GAD while also assessing the severity of anxiety symptoms. Additionally, it can function as a screening tool for other anxiety related disorders such as panic, social anxiety, and PTSD.
Medication Response Form (Before each follow up)
- This form evaluates how you are adjusting and responding to your new medication