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IEHP - Inland Empire Health Plan, A Public Entity


ADHD Toolkit

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ADHD Introduction

1) Diagnosis - NICHQ ADHD Forms
Assessment Scale Initial - Parent
Assessment Scale Initial - Parent (Spanish)
Assessment Scale Initial - Parent SAMPLE (Spanish)

Assessment Scale Initial - Teacher 
Assessment Scale Initial - Teacher (Spanish)

Assessment Scale Follow Up - Parent
Assessment Scale Follow Up - Parent (Spanish)

Assessment Scale Follow Up - Teacher 

Evaluation Form

Scoring Instructions


2) Treatment
 
How to Establish a School-Home Daily Report Card (Spanish)

Management Plan 1
Management Plan 1 (Spanish)

Management Plan 2 
Management Plan 2 (Spanish)

Stimulant Management


3) Parent Information Support Handouts

ADHD Resources on the Internet (Spanish/English)

Does My Child Have ADHD 
Does My Child Have ADHD (Spanish)

Educational Rights 
Educational Rights (Spanish)

Evaluating Your Child for ADHD and Evaluation Timeline (Spanish)

For Parents of Children with ADHD 
For Parents of Children with ADHD (Spanish)

Homework Tips 
Homework Tips (Spanish) 

Problems with Sleep 
Problems with Sleep (Spanish)

Understanding ADHD Information for Parents About ADHD Booklet (Spanish)

Working with Your Childs School
Working with Your Childs School (Spanish)


4) Patient Letter

Sample Cover Letter to Teacher(s) 
Sample Cover Letter to Teacher(s) (Spanish)


5) IEHP Referral Form
IEHP Coordination of Care Form

6) Court Forms
Court_Form Information JV219 
Court Form JV220 
Court Form JV221 
Court_Form JV222 
Court_Form JV223 

7) CUIDAR SB
CUIDAR SB Program