Patient ADHD Medication Evaluation Chart To Bring to Your Doctor

Medicine can affect you physically, mentally and emotionally.

It helps to have a clear appreciation about what that is–exactly– for you.

Download and print out this form.

Fill in the blanks for a days or so. Stimulant meds go in and out of your system pretty fast. So if you don’t make it thru one whole day, try again tomorrow.

It will help you see clearly how your meds are affecting you.

Take it along when you next see your doctor. It might help you be more specific with your information.

Provided by: McConlogue Med Monitor © 2003





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