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ADHD MEDICATION RESEARCH STUDY REFERRAL FORM Referral Date: Patient Name: Patient DOB (MM/DD/YYY): Gender: M Parent/Guardian Name: Patient Address: Patient Telephone: (Home) (Alternate/Work) Patient
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How to fill out adhd medication research study

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How to fill out an ADHD medication research study:

01
Start by thoroughly reading the study information and informed consent document provided. Make sure you understand the purpose of the study, the potential risks and benefits, and what participation will entail.
02
Contact the study coordinator or research team if you have any questions or concerns about the study or the process of filling out the forms. They will be able to provide clarification and guidance.
03
Begin by completing any background or demographic information required in the study forms. This may include details about your age, gender, medical history, and any current medications you are taking.
04
Follow the instructions provided for documenting your ADHD symptoms or history. This may involve answering questions about the frequency and severity of symptoms, previous treatment options, or any known triggers or patterns.
05
If applicable, record any specific medication history related to ADHD. Include details about the type of medication(s) you have taken, the dosage, duration, and any observed effects or side effects.
06
It is important to provide accurate and detailed information throughout the forms. Take your time to carefully review your answers and ensure they accurately reflect your experiences and history.
07
If there are any specific assessments or questionnaires included in the research study, make sure to complete them accurately and to the best of your ability. These assessments may help researchers determine the impact of ADHD medication on various aspects of your life.

Who needs an ADHD medication research study?

01
Individuals who have been diagnosed with ADHD and are interested in exploring the effects of medication on their symptoms.
02
Patients who have already been prescribed ADHD medication but are looking to contribute to scientific knowledge by participating in research.
03
Medical professionals and researchers who aim to better understand the efficacy, side effects, and long-term impacts of ADHD medication, in order to improve treatment options for patients.
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ADHD medication research study is a study conducted to investigate the effectiveness and safety of medications used to treat ADHD.
Researchers, pharmaceutical companies, or institutions conducting the study are required to file ADHD medication research study.
ADHD medication research study should be filled out with all relevant data and findings from the study in accordance with the guidelines provided.
The purpose of ADHD medication research study is to gather data on the efficacy and safety of medications used to treat ADHD in order to improve treatment options.
Information such as study design, participant demographics, treatment protocols, results, and conclusions must be reported on ADHD medication research study.
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ADHD ABPdN Justin Witzke PhD braingainucalgary MRI YYYY Ext DOB REFERRAL Tel Coordinator Hale

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