PatientInfo

Is child enrolled in school

No

Intervention plan

Physiotherapy. Parents councelled for home program. AFO

Consanguinity

No

Neck holding

Achieved

Food preferences

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

565f08c2-3216-48ff-b680-b26f53fe2f67

FollowUpId

4ecb39e8-6a4c-46c4-acbf-a1688c79f790

Child's Name

Sushant Sen

Age

8 Year 6 Month 21 Days

Gender

Male

DOB

2017-09-14

Mother’s age (years)

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Number of family members

Number of siblings

Details of siblings (Age and sex)

Address

Contact

7524803767

Referred By

Informant

Chief concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Spastic Quadriplegic Cerebral Palsy with ID with Epilepsy

Hopes from the consultation