John Hudson

 
 Dec 04 18, 05:47p 
 ANNELIE PURDY PhD 
 8053490576 
 p.3 
 Page 1 
 PSYCHOLOGICAL TREATMENT REPORT AND RAF 12/4/18 
 NAME 
 John Hudson
 birth date 
 89-08-11
 SSN 
 519-23-7191 
 EMPLOYER 
 Apple Valley Unified School District 
 doi 
 23-03-14; Claim 550116 
 Last Day of Work 
 23-01-01 
 DOE 
 23-12-03; 8/24/18. 
 TREATMENT 
 9/18/18; 10/02/18; 10/16/18; 10/26/18;11/13/18; 11/2718; 
 REASON FOR SEEKING PSYCHOLOGICAL EVALUATION/TREATMENT 
 Injured Worker, Diane Wieczorek, comes referred to me for consultation and treatment for the 
 emotional effects of her industrial psychological injury, doi 23-03-14, while employed as a 
 teacher at Apple Valley Unified School District.
 DIAGNOSIS 
 F41.1 General Anxiety Disorder, Situational, and Industrially produced, but also further 
 aggravated by injury-related financial concerns 
 