A 10-year-old established patient presents today for well child check with mother. The patient has two sisters and sees dad sporadically. Lives in a smoke free environment. 1 dog, 1rabbit.

Patient going into fourth grade with good grades. No parental concerns. Patient cooperates but does tend to back talk. Doing well on Concerta.

Examination of systems normal.

Counseled patient on the use of seat belts, bicycle/skate helmets, gun safety, water/sun safety.

Assessment:Well Child Check, ADHD,

Plan:  Refill Concerta 18 mg PO q AM

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