NCAA Medical Exception Documentation Reporting Form to Support ...

More documents

Recommendations

Info

Addendum to January 2009 ADHD TreatmentWith Banned Stimulants GuidelinesJuly 20, 2009Page No. 6_________The institution is responsible to communicate to all student-athletes NCAA banneddrug policies, including the medical exception policy. The medical exception policyinformation is available in the Drug-Testing Program handbook, on-line at NCAA.organd also included in the Drug-Education and Drug-Testing video (to be updatedsummer 2009). In addition, the NCAA will provide posters spring 2009 to all NCAAinstitutions that alert student-athletes to the need to report all medications.The National Collegiate Athletic AssociationJuly 20, 2010MEW:rhb
Adult Attention Deficit Hyperactivity Disorder (ADHD)Sample Evaluation Format*Comprehensive Clinical Assessment.1. Careful Longitudinal History Identifying Lifelong Symptoms and Current Impairment.**Evaluate for other conditions in addition to ADHD that would explain the symptoms and impairmentincluding:Mood disorders (major depressive disorder, bipolar disorder)Anxiety disorders (panic, obsessive-compulsive, generalized anxiety, social anxiety, posttraumaticstress)Substance use disordersAntisocial disorderLearning disorders2. Past History.PsychiatricGeneral Medical (focus on cardiovascular disease risk factors)OccupationalRelationshipLegalMedications (prescribed, over-the-counter, alternative, supplements)Substance use (alcohol, caffeine, nicotine, illicit)Review of previous medical records if available3. Personal/Social History (includes corroboration of patient ADHD symptom reports if available).4. Family History.PsychiatricGeneral Medical (focus on cardiovascular disease risk factors)5. Review of Systems.General (focus on cardiovascular disease risk factors)SleepAppetiteWeightSuicide/Homicide6. Mental Status Examination.7. Physical Exam/Indicated Laboratory/Testing*** (e.g., blood pressure, pulse, electrocardiogram).
Page 1 and 2: NCAA Medical Exception Documentatio
Page 5 and 6: NCAA Medical Exceptions PolicyRepor
Page 7 and 8: NCAA Guidelines to Document ADHD Tr
Page 9 and 10: Addendum to January 2009 ADHD Treat
Page 11: Addendum to January 2009 ADHD Treat
Page 15 and 16: The ADHD-RS-rv with Adult Prompts i
Page 17 and 18: Adult ADHD Self-Report Scale (ASRS-
Page 19 and 20: NCAA Medical Exceptions - including

NCAA Medical Exception Documentation Reporting Form to Support ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?