PatientInfo

Is child enrolled in school

Yes

Intervention plan

Counselled mother. Strategies advised for home

Consanguinity

No

Neck holding

Achieved

Food preferences

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

72e37379-bb8f-484b-bdde-c28c3916a7b4

FollowUpId

f83ebc30-55d3-49fe-b48f-eaee05c5f870

Child's Name

Amber

Age

3 Year 7 Month 12 Days

Gender

Female

DOB

2022-08-25

Mother’s age (years)

38 years

Mother’s education

Mother’s occupation

Accountant

Father’s age (years)

38 years

Father’s education

Father’s occupation

Business

Type of family

Nuclear

Number of family members

3

Number of siblings

1

Details of siblings (Age and sex)

Address

Melbourne, Australia

Contact

61488001527

Referred By

Doctor

Informant

Mother

Chief concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Sustained

Interaction

Quality of Interaction

age-appropriate

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Language delay

Hopes from the consultation