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Attention Deficit Hyperactivity Disorder is now diagnosed in about 5% of all school age children.  North Raleigh Pediatrics uses standardized rating scales to determine if a patient meets criteria for the diagnosis of ADD/ADHD. Forms for initial diagnosis and follow assessments are on our website, www.northraleighpediatrics.org. Use the Forms and Links tab, then see ADD Forms.

Elementary and middle school children are evaluated using the Vanderbilt Scales. These forms must be completed by each parent and two teachers.  Vanderbilt forms are used for the initial diagnosis and follow-up assessments.

High School and college students are evaluated using the Teen Assessment Forms (ADHD-RS Checklist) - the teenager, each parent and one teacher who knows the student well should use this form for the initial diagnosis and follow-up assessments. Patients 18 years and older must call themselves for any medication changes. Parents of adult patients cannot request medication changes.

Medication follow-ups will need to occur independently from annual physical exams because of the time needed to assess, not only his or her response to medication, but also performance in school, at home and during extracurricular activities. 

First Visit Evaluation for ADHD Diagnosis
During the initial phase of treatment, visits will need to occur monthly to fine tune the medication for your child. Once ADHD symptoms are stable, visits will occur every 3 to 6 months.  
Requirements to schedule an Initial ADD/ADHD Evaluation appointment:
1.Please complete and return the Initial Assessment Forms for each parent and two teachers. When all forms are returned to our office, our ADHD Coordinator will call you to schedule the initial evaluation visit and the 21 day medication evaluation visit (this visit is required to receive medication refills).
2. If the patient has already been evaluated, these records are needed in addition to new forms and an appointment will be scheduled.
3. If the patient is transferring to us and is stable on medication, medical treatment records are required prior to scheduling evaluation visit.
4. Following the initial ADHD visit and after medication changes, our ADHD Coordinator will be contacting you to perform a medication phone follow up as needed.

ADD/ADHD Follow-Up Appointments
For careful management of ADHD patients on medication, North Raleigh Pediatrics requires an ADHD recheck every 3-6 months.  When follow up assessment forms are required, please make sure to bring the completed forms to your appointment. 


Recent Insurance and Medication Changes
As of 4/1/2017, due to Health Insurance Utilization Management changes, your prescription benefit plan may require prior authorization for your ADD/ADHD medication.  Please contact your insurance company and ask them ‘which ADD/ADHD medications are covered in your preferred medications benefits’. To assist you, we have posted a list below of commonly prescribed medications used to treat ADD/ADHD.

ADD/ADHD Meds Commonly Prescribed Medications (Brand and Generic)
 
Short-Acting:    
Name Brand                      Generic                                             
Adderall                            Amphetamine/Dextroamphetamine
Focalin                              Dexmethylphenidate                              
Ritalin, Methylin                  Methyphenidate    


Long-Acting:
Name Brand                                                                Generic
Adderall XR                                                                 Amphetamine/Dextroamphetamine XR
Focalin XR                                                                   Dexmethylphenidate XR
Concerta,Metadate CD/ER, Ritalin LA/SR, Methylin            Methylphenidate ER
Adzenys XR-ODT                                                         No Generic
Daytrana                                                                   
No Generic
Evekeo                                                                      No Generic
Quillivant                                                                   
No Generic
Vyvanse                                                                     No Generic

Non-Stimulant:               

Name Brand                      Generic                                                                      
Strattera                          Atomoxetine                                                          
Intuniv                             Guanfacine                
Kapvay, Catapres               Clonidine          
 

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