Get Atserv_add-adhd Documentation Form-1 - Eastern University ...

Filling out the ATSERV_ADD-ADHD Documentation Form-1 is an essential step for student-athletes at Eastern University to ensure compliance with NCAA regulations while participating in intercollegiate athletics. This guide provides clear, step-by-step instructions to assist you in completing the form online effectively.

Follow the steps to complete the ATSERV_ADD-ADHD documentation form online.

1. Click the ‘Get Form’ button to access the document and open it in your preferred online editor.
2. Begin by entering the student-athlete's name and date of birth in the designated fields. Ensure that this information is accurate, as it is critical for identification purposes.
3. Record the date of the initial evaluation and the date of the most recent follow-up. These dates are important for maintaining up-to-date medical records.
4. Fill in the vital signs section by entering the blood pressure and pulse readings. These details are crucial for monitoring the athlete's health.
5. Provide the physician’s diagnosis, detailing the ADHD or ADD condition. This should reflect the diagnosis made by a qualified health care provider.
6. In the medication prescribed field, list out any prescribed medications along with follow-up orders from the physician to ensure compliance with treatment regimens.
7. Attach a summary of the clinical evaluations that were used to diagnose the student-athlete with ADHD/ADD, referencing DSM-IV criteria. This documentation reinforces the diagnosis.
8. Include notes regarding any alternative non-banned medications that have been considered or tried, explaining why they were not utilized.
9. Attach any ADHD rating scale scores and report summaries, such as Connors or ASRS, that support the diagnosis and treatment plan.
10. Finally, fill in the name, address, specialty, signature, and date fields for the physician providing the information. This validates the form and confirms the provided details.
11. Upon completion, save any changes made to the form, and download, print, or share as necessary.

Complete your ATSERV_ADD-ADHD Documentation Form-1 online today for an efficient submission process.