CognaAura Adult ADHD Provider Appointment Toolkit — Printable + Fillable PDF (US Letter)

Walk into your appointment prepared, not scrambling.

Your appointment is short. Make every minute count.

• Did you leave your appointment and remember what you forgot to say?
• Did your appointment end before you got to say what mattered most?
• Can you remember every ADHD medication you've tried, and how each one went?
• Did your provider add a medication without checking anything else first?
• Did your refill feel different?
• Do you feel like a partner in your own treatment plan?

This toolkit gives you a voice in your own medical care and helps you become your own healthcare advocate. It provides organization so nothing is missed during your provider appointments, which are very limited in time.

Made by a Registered Nurse

Created by an RN in psychiatric nurse practitioner school.

Who it's for

Made for adults already diagnosed with ADHD. This toolkit is not a screening or diagnostic tool.

What this toolkit does

• Gives you a voice.
• Helps you become an advocate.
• Keeps a list of your past and current medications.
• Keeps your medical and mental health history organized.
• Provides trusted educational resources.
• Helps address all concerns and questions without missing anything, with pre-appointment and post-appointment pages.
• Addresses any metabolic issues prior to medication changes.
• Brings the pages to life with beautiful illustrations.

Before a medication changes

There could be other metabolic issues to consider before a medication is added or changed. The Labs & Evaluations to Discuss page has a checklist of blood work and evaluations to ask your provider about, such as thyroid, vitamin D, iron, and hormones.

Track your generic manufacturer

If you change manufacturers, the medication can change, and so can your symptoms. The Generic Manufacturer & Pharmacy Log helps you record who made your refill and what felt different, so you can discuss it with your pharmacist or prescriber.

Why an ADHD ecosystem

Mental health doesn't exist on its own. Your medication, sleep, body, routines, and relationships all affect each other, much like a natural ecosystem. CognaAura's ADHD Ecosystem is built around the ocean, always moving and far deeper than it looks from the surface, and the sea life throughout the toolkit reflects that.

Keep a short appointment on track

Share the Pre-Appointment Snapshot first, so your provider sees your priorities. Before you leave, fill in the Provider Visit Summary, so you remember what was decided and what happens next.

What you receive

Two 14-page PDFs in US Letter (8.5 × 11 inches), included in one purchase:

• A Printable PDF to print and write by hand.
• A Fillable PDF you type into using a free PDF reader such as Adobe Acrobat Reader.

This is a digital download; no physical item ships.

Inside the toolkit

• About Me & My ADHD
• Medical History and Mental Health History
• Pre-Appointment Snapshot
• Current Medications and Past ADHD Medication Trials
• Generic Manufacturer & Pharmacy Log
• Labs & Evaluations to Discuss
• Provider Visit Summary
• Sources & Educational Resources

How to use it

Complete the sections that apply to you. Bring the completed pages to your healthcare provider visits to guide the conversation. Keep a blank master and print or save a fresh copy for each visit.

For personal use; you may share your completed pages with your healthcare providers. This educational, organizational resource is for adults already diagnosed with ADHD. It is not a screening or diagnostic tool and does not replace medical advice, diagnosis, or treatment.