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GIVEN COVID 19 PANDEMIC, TODAYS ENCOUNTER
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INS-Patient /parent gave verbal consent
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Accompanied
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General comments
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Last office visit -
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Taking medication
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Comments
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Overall effectiveness
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Adhd symptoms w medication :
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Comments
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Medication Adverse Side effects
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Grades
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Comments
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Current stressors
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Other Behavioral Diganoses
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Comments
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other learning problems or special needs
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IEP or 504
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teacher involvement
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Counseling
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Other concerns today
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Counseling Source
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PHYSICIAN EXAM
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A/P-90872,96130,90832,59, 98960
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NORMAL MENTAL /PHYSICAL EXAM
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Negative Anxiety evaluation
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ADHD ASSESSMENT /PLAN
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Normal mental and physical exam
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General appearance comments
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Mental status Normal
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mental status / PE comments
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ADHD Assessment
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Anxiety Assessment /Plan
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A/P
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Dysfunctional sleep patterns
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Continue Medication Rationale
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Medication Plan
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New medication prescribed because of Pt's
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Taper Medication Rationale
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A ) PSYCHIATRIC DIAGNOSTIC EVALUATION AND MEDICAL SERVICES Anxiety/ Depression - Current diagnosis and treatment reviewed.. P
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Counseling re pt responsibility with Adderall medication
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Comments
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Follow-Up
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Follow-up
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FLU VACCINE REFUSED
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Vaccines Discussed/VIS given
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