PatientInfo

Is child enrolled in school

Yes

Intervention plan

IDP 2/week +PMT 1/week

Consanguinity

No

Neck holding

Food preferences

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

a5b1f07d-4e10-4bd2-a11d-18b2ccc7ab76

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Aadhavan Gupta

Age

6 Year 11 Month 3 Days

Gender

Male

DOB

2019-04-25

Mother’s age (years)

42 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

42 years

Father’s education

Father’s occupation

In Life Insurance Company

Type of family

Joint

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

4 yr old male

Address

DB City

Contact

7389012885

Referred By

Relative

Informant

Parents

Chief concerns

Behavioral issues

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Looking from corner of eyes, laughing episodes

Patterned behavior or activities

If yes- Details

Others

Details:

Rigidity. Obsession for trains. Aligns things

Impression

ASD

Hopes from the consultation