ADHD Evaluation and Treatment

For a new diagnosis of Attention Deficit / Hyperactivity Disorder:

Students at Western Michigan University may have trouble focusing, getting organized or completing work at times of increased stress. There are many other factors that may also contribute to these issues including but not limited to substance abuse, depression, anxiety or other medical conditions.

If you have never been diagnosed but would like to be evaluated for ADHD, please be advised that the following requirements are considered standard of care at Sindecuse Health Center for the diagnosis and must be a part of your work-up. You will not proceed further in evaluation or treatment until the following requirements are met.

  1. You must schedule a nursing appointment to begin the process of completing documentation, to schedule a lab test and the initial provider visit.
  2.  You must fill out ADHD rating form scales and questionnaire regarding symptoms and timeline of development.
  3. A negative drug screen must be provided to continue in further evaluation and testing for ADHD symptoms. If the screen is positive, you may be asked to provide two subsequent negative screens and see a counselor regarding your substance use.
  4. Meet with a primary care provider (PCP) who will talk with you about your symptoms and any other medical conditions that may be contributing to your presenting problems.
  5. Meet with a psychologist when the PCP decides your areas of concern require further evaluation and has referred you for psychological testing. It is your responsibility to learn whether your insurance benefits cover psychological testing prior to your scheduled appointment.
  6. After discussion with the testing psychologist, you may be referred to a psychiatrist to have further evaluation for medication considerations.
  7. A psychiatric evaluation and diagnostic interview must be completed.
  8. Periodic and random drug screens may be scheduled and must be done in order for Sindecuse providers to continue prescribing ADHD medication. Minimal once-a-year testing will be done.

For transfer of care from a community provider to a Sindecuse provider for ADHD:

If you have been previously diagnosed and treated for ADHD, Sindecuse Health Center requires complete documentation of the diagnostic evaluation and treatment by your treating physician(s) or licensed professional(s). You will need to continue to receive prescriptions from your community providers until the below steps have been completed and transfer of care to a Sindecuse provider has been established. Until the following requirements have been fulfilled, Sindecuse providers will not prescribe refills on ADHD medications given by providers outside of our health center.

  1. You must complete a release of information form for us to receive prior medical records. Thorough medical records are required and must include psychiatric and/or primary care evaluation/treatment with psychological testing.
  2. Final decision regarding transfer of care from a community provider to Sindecuse will be determined by our clinical providers upon review of your records. If records are deemed insufficient, you will need to complete steps as listed in the section above ‘For a new diagnosis of ADHD’ in order for a Sindecuse Health Center to provide medications for ADHD.
  3. A negative drug screen, other than prescribed medications, will need to be provided prior to establishing ADHD care with a Sindecuse provider.
  4. If documentation adequately supports your diagnosis of ADHD then you will be scheduled with a Sindecuse provider for diagnostic interview and evaluation. The final decision to prescribe ADHD medications will be at the discretion of the Sindecuse provider.

Prescription medications at Sindecuse        

Sindecuse Pharmacy fills written orders for 30-day supplies of ADHD medications from outside providers. Phoned-in or electronic prescriptions are not allowed for schedule II controlled substances.

Students are encouraged to begin this transition well in advance of arriving at WMU since there are often a large number of requests to process.