Get Answer: Adult Adhd Subjective Question Guide
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Original Question
adult ADHD SUBJECTIVE: adjustment disorder and anxiety Chief Complain (CC) should be 3-5 words in the patient’s own words in quotes Include patient report of symptoms including onset, duration, characteristics, aggravating/alleviating factors, and timing DSM criteria that are met or not met by patient report Other pertinent information: appetite, mood, sleep, etc. Current Medications with dosages and frequency Risk Assessment: Current Suicidal Ideations or Homicidal Ideations Past Suicide Attempts Past Violence History of Substance Abuse OBJECTIVE: Mental Status Exam Standardized Assessment Tools (GAD-7, PHQ-9, etc) Vital Signs/Labs/Tests ASSESSMENT/PLAN: Diagnoses with appropriate ICD 10 code CPT Billing Code Medications refilled or changed with dose and frequency and number of refills Future ordered labs, tests Patient Education provided Follow-up appoints
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