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Documentation Needed for ADD/ADHD Medication

Your Campus Health Services provider needs clear objective documentation of the testing done to diagnose your ADD -ADHD in order to prescribe appropriate medication for you on a regular basis.

The following documentation must be included when requesting stimulant medication for ADD - ADHD. Please bring these documents to your next visit with your assigned provider or have the following documents mailed or faxed to Campus Health Services at 919-966-4605, Attn: Health Information Management. Additionally, all students being prescribed stimulant medication must agree to and sign the stimulant medication contract.

A letter (if report is not yet completed) or copy of the psychological evaluation from the provider who diagnosed your ADHD (psychologist or neuropsychologist). We have compiled a list of ADD/ADHD testing providers in the area for your convenience. This letter must contain:

  • Student name
  • Student date of birth
  • Date of clinical evaluation

Tests performed including:

  • Cognitive/Intelligence testing (ie.: WAIS/Stanford Binet)
  • Achievement test (ie.: WJ-III)
  • Test of sustained attention (ie: TOVA or CPT)
  • Self-report forms for ADHD/ADD (ie: Brown or Connors)
  • Collateral information from relevant individuals (could include report forms filled out by parents/caregivers/partners – ie: Brown or Connors)
  • Personality measures and/or Beck depression/anxiety scale - optional

Clinical Evaluation and Diagnostic Interview Components including:

  • Comprehensive educational and psychosocial history
  • Mental Health/Medical history, including current treatment regimen and medication (if relevant)
  • Current symptoms, test findings and scores
  • Interpretation of test results, including diagnosis
  • Summary and recommendations

Documentation from the diagnosing provider must also include the following:

  • Provider name (Printed)
  • Office address and contact information
  • Specialty
  • Provider signature and date