HIMS: SSRI/Antidepressant Evaluation

Required Records

1. A typed statement, in your own words, describing your mental health history, antidepressant use, and any other treatment.  At a minimum, you must include the following information: 
             A. Symptoms: when started, what type, and when/how you first sought treatment.  
             B. List all providers you have seen for any mental health condition(s) and dates.  
             C. List all medications you have taken, dates they were started and stopped, whether they helped or not.  
             D. List any other treatment(s) you have utilized, the dates they were started and stopped, if they helped or not.  
             E. List dates and locations of any hospitalizations due to any mental health condition. If you have not had any, that must be stated.  
             F. Describe your current status: current medication dose, how long you have been on it, and how you function both on and off the medication. (Sign and date your statement) 
2. Provide copies of all of your medical/treatment records related to your mental health history (to include any treatment records for past related symptoms where you were NOT on antidepressant/SSRI as well as from the date you began treatment to the present)
3. If the FAA has any records for you, then these will need to be requested as well (to be sent to the neuropsychologist).  Dr. Hoyman will provide a form for you to complete to request these records.

Evaluation Process