ADD/ADHD Evaluation & Management

Initial Evaluation for ADD/ADHD (Not Previously Diagnosed)
Continuation of Present ADD/ADHD Medication
Psycho-stimulant Medication Contract
ADD/ADHD Academic Accommodations
ADD/ADHD Psychological Testing

Initial Evaluation for ADD/ADHD (Not Previously Diagnosed)

• Call 202-994-5300 to make an appointment for an initial visit with a psychiatrist at the CHC.
• Plan to arrive 30 minutes before your appointment time. You must bring the completed ADD/ADHD initial evaluation packet to your appointment. Students will be asked to reschedule their appointment if the packet is not complete prior to their appointment time.
• A psychiatrist will meet with you to take a history and review the forms. If ADD/ADHD is suspected you will be referred to a testing psychologist in the community for further evaluation and diagnosis. Medical Services has a referral list of local testing facilities.
• Students are responsible for charges incurred at Medical Services and testing sites. Some evaluation and testing is covered for students with the Student Health Insurance Plan. Students with other health insurance should check with their insurance company about coverage under their policy.
• After this assessment, students can schedule a follow-up appointment with a psychiatrist at Medical Services for initiation of medication when indicated.
• ADD/ADHD prescriptions will not be given at the initial ADD/ADHD evaluation appointment.

Continuation of Present ADD/ADHD Medication

• Call 202-994-5300 to schedule an appointment for an initial visit with psychiatrist at the CHC.
• Before your appointment, the Documentation of Previous ADHD Treatment Form (PDF) must be downloaded and filled out by your doctor. Written documentation of the prescribed medication must be provided and must include the name of the medical provider, the dose, and the date last filled.
• Your doctor must also attach progress notes pertaining to your care. At minimum, the first and last clinic notes must be submitted.
• Before your appointment, please submit your most recently completed psychological and/or psychiatric evaluation, reports with a specific diagnosis, lists of tests administered with scores, and narrative interpretation of scores.
• A psychiatrist at the CHC will review your documentation at the initial visit. ADHD prescriptions will only be given to patients if all adequate documentation is presented at the initial visit. Please note that it may take one or two visits before a prescription is given if adequate documentation is not submitted.
• ADHD prescriptions will only be given on a monthly basis. A follow-up visit is required to receive a refill. Medical Services will not refill ADHD medications via telephone or fax.

Psychostimulant Medication Contract

All students receiving stimulant prescriptions from Medical Services  are required to review and sign the Psychostimulant Medication Contract (PDF) on a yearly basis.

ADD/ADHD Academic Accommodations

Students who need academic accommodations for ADD/ADHD must register with Disability Support Services. In most situations, a Comprehensive Psychological Evaluation is required to access accommodations.

ADD/ADHD Psychological Testing

Students suspected of having ADD/ADHD will be referred to a testing psychologist in the community for further evaluation and diagnosis. Medical Services has a referral list for local testing facilities. Students are responsible for charges incurred at testing sites. Some evaluation and testing is covered for students with the Aetna Student Health Insurance plan. Students with other health insurance should check with their insurance company about coverage under their policy.

Evaluations generally fall under two categories, comprehensive psychological evaluation or focused ADD/ADHD evaluation.

Comprehensive Psychological Evaluation

The evaluation takes approximately seven to eight hours and includes:

• Intellectual abilities testing
• Educational achievement testing
• Neuropsychological test battery, which includes testing in
  • attentional functioning;
  • organizational skills;
  • motor skills;
  • receptive and expressive language abilities;
  • visual-perceptive and visual-constructive abilities;
  • reasoning and problem-solving abilities; and
  • learning and memory
• Personality screening to assess personality style, current coping skills, and social-emotional state
• Intellectual assessment
• Self-report and collateral report (usually from parents) of current and historical behavior and symptoms
• Record of school reports
• Assessment of attention capacities
• Additional features are evaluated as indicated

Focused ADD/ADHD Evaluation

The evaluation takes approximately four hours and the primary purpose is to screen for ADD/ADHD. If ADD/ADHD is clearly indicated this may be sufficient testing to warrant medication. It includes:

• Intellectual assessment
• Self-report and collateral report (usually from parents) of current and historical behavior and symptoms
• Record of school reports
• Assessment of attention capacities
• Additional features are evaluated as indicated