- Which findings are visual-performance signs worth documenting separately from the ADHD diagnosis?
- Two: (1) place loss — three times in one paragraph, which is a countable, condition-bound observation; (2) figure-ground search failure — cannot locate a pencil in a cluttered field, which you can test again with a decluttered field. Both are documented as performance under a stated condition, separate from the ADHD diagnosis and without claiming vision explains the ADHD. Handwriting quality itself is a visual-motor output observation and belongs in the OT plan regardless.
- What would your present-level sentence say, and what referral (if any) would accompany it?
- Model: "During 10-minute paragraph copy, [student] loses place 3 times and requires 2 adult prompts to resume; he locates a target item in a cluttered field on 1 of 5 trials and 5 of 5 trials when the field is reduced to three items. Reduced-clutter materials and a line guide are in place. Referral: comprehensive eye examination if none is on file within the past year." Referral is warranted here because near-work place loss has not been evaluated — not because ADHD requires one.