Patient ADHD Medication Evaluation Chart To Bring to Your Doctor

Medicine can affect you physically, mentally and emotionally.

Download and print out Medication Management Form 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 and your healthcare provider see how your meds affect 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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