PatientInfo

Is child enrolled in school

Yes

Intervention plan

IDP 2/week +PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Picky eater

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

53fc7eef-ebd2-49cf-b906-68f16c2c5d99

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Hridayansh Sehgal

Age

4 Year 9 Month 10 Days

Gender

Male

DOB

2021-07-11

Mother’s age (years)

28 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

36 years

Father’s education

Father’s occupation

Business

Type of family

Number of family members

7

Number of siblings

1

Details of siblings (Age and sex)

5 months male

Address

Aazamgarh

Contact

7047412523

Referred By

Doctor

Informant

Parents

Chief concerns

Hyperactivity, impulsivity

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Obsessed with belt

Impression

Hopes from the consultation