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OPD : 06-Apr-2026 01:52PM Demographic Details 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 occupation: Accountant Father’s age (years): 38 years Father’s occupation: Business Type of family: Nuclear Number of family members: 3 Number of siblings: 1 Address: Melbourne, Australia Contact: 61488001527 Referred By: Doctor Informant: Mother Interaction history: Eye contact: Sustained Quality of Interaction: age-appropriate Behavioral history: Birth & Perinatal History: Antenatal History Consanguinity: No Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: LSCS Indication for LSCS (if applicable): IUGR Gestational Age: FT Birth Weight: 2.9 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: No Seizures: No Past/Current therapies: Speech therapist told- expressive language delay Investigations done- Hearing assessment: Not done Vision assessment: Not done Family history: Neuropsychiatric condition: No Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 3 months Roll over: Achieved Age of attainment: 5 months Sitting without support: Achieved Age of attainment: 6 months Standing without support: Achieved Age of attainment: 9 months Walking without support: Achieved Age of attainment: 14 months Running: Achieved Age of attainment: 15 months Fine Motor Bidextrous grasp: Achieved Age of attainment: 4 months Unidextrous grasp: Achieved Age of attainment: 6 months Pincer grasp: Achieved Age of attainment: 12 months Scribbling: Achieved Age of attainment: Drinking from cup: Achieved Age of attainment: Language Receptive:- Joint attention: Achieved Age of attainment: 9 months Pointing: Achieved Age of attainment: 12 months Understanding gestures: Achieved Age of attainment: Following commands: 1-step Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 12 months 2 word Phrases: Achieved Age of attainment: Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 12 months 2 word Phrases: Achieved Age of attainment: Communication & Language Assessment Non-Verbal Communication Grading:- Drag for needs: Consistent Joint attention: Consistent Pointing: Consistent meaningful pointing Understanding gestures: Consistent Following commands (gesture + verbal): 1-step Answering Questions:- Echolalia: Present Social Social smile: Achieved Age of attainment: 2 months Stranger anxiety: Achieved Age of attainment: 7 months Waving bye bye: Achieved Age of attainment: 9 month Comes when called: Achieved Age of attainment: 12 months Copying parents in tasks: Achieved Age of attainment: Asking for food and toilet: Achieved Age of attainment: Response to Name Call Sitting tolerance- (in minutes) For interaction: age appropraite For tasks: age appropriate ADL Skills (Age-appropriate)- Eating: 5. Independent Bathing: 3. Needs significant assistance Toilet training: 1. Dependent Dressing: 4. Needs minimal assistance Undressing: 4. Needs minimal assistance Details:: In diapers. Accidents with urine. Type of Play : 4. Parallel Academic History: Is child enrolled in school: Yes Type of school: Regular Name of School: Paradise school Grade: Daycare Hours spent in school: 6 hours Location: Melbourne Diet History: Food allergies: No Junk food intake: Ocassionsal Sleep History Total sleep duration (night): 11 hours Afternoon nap: Yes Duration of Afternoon nap: 1.5 hours Daily Screen Time Duration: Zero Type of screen: TV Examination a. Vitals: b. Anthropometry: Weight: 13 Kg Height: 95 cm Head circumference: 47 cm c. General Examination Dysmorphology: NAD Neurocutaneous markers: NAD d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: Language delay Advice Intervention plan: Counselled mother. Strategies advised for home Evaluation: Language evaluation (later), BERA (later) General recommendation- Zero Screen Time Physical interactive play No Junk food No focus on academics at present

OPD : 06-Apr-2026 01:52PM Demographic Details

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 occupation: Accountant
Father’s age (years): 38 years
Father’s occupation: Business
Type of family: Nuclear
Number of family members: 3
Number of siblings: 1
Address: Melbourne, Australia
Contact: 61488001527
Referred By: Doctor
Informant: Mother

Interaction history:

Eye contact: Sustained
Quality of Interaction: age-appropriate

Behavioral history:

Birth & Perinatal History: Antenatal History

Consanguinity: No

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: LSCS
Indication for LSCS (if applicable): IUGR
Gestational Age: FT
Birth Weight: 2.9 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: No Seizures: No

Past/Current therapies: Speech therapist told- expressive language delay Investigations done-

Hearing assessment: Not done Vision assessment: Not done

Family history:

Neuropsychiatric condition: No

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 3 months
Roll over: Achieved

Age of attainment: 5 months
Sitting without support: Achieved

Age of attainment: 6 months
Standing without support: Achieved

Age of attainment: 9 months
Walking without support: Achieved

Age of attainment: 14 months
Running: Achieved

Age of attainment: 15 months

Fine Motor

Bidextrous grasp: Achieved

Age of attainment: 4 months

Unidextrous grasp: Achieved

Age of attainment: 6 months

Pincer grasp: Achieved

Age of attainment: 12 months

Scribbling: Achieved

Age of attainment:

Drinking from cup: Achieved

Age of attainment:

Language

Receptive:-

Joint attention: Achieved

Age of attainment: 9 months
Pointing: Achieved

Age of attainment: 12 months
Understanding gestures: Achieved

Age of attainment:
Following commands: 1-step

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 12 months

2 word Phrases: Achieved

Age of attainment:

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 12 months

2 word Phrases: Achieved

Age of attainment:

Communication & Language Assessment

Non-Verbal Communication Grading:-

Drag for needs: Consistent
Joint attention: Consistent
Pointing: Consistent meaningful pointing
Understanding gestures: Consistent
Following commands (gesture + verbal): 1-step

Answering Questions:-

Echolalia: Present

Social

Social smile: Achieved

Age of attainment: 2 months
Stranger anxiety: Achieved

Age of attainment: 7 months
Waving bye bye: Achieved

Age of attainment: 9 month
Comes when called: Achieved

Age of attainment: 12 months
Copying parents in tasks: Achieved

Age of attainment:
Asking for food and toilet: Achieved

Age of attainment:

Response to Name Call

Sitting tolerance- (in minutes)

For interaction: age appropraite
For tasks: age appropriate

ADL Skills (Age-appropriate)-

Eating: 5. Independent
Bathing: 3. Needs significant assistance
Toilet training: 1. Dependent
Dressing: 4. Needs minimal assistance
Undressing: 4. Needs minimal assistance

Details:: In diapers. Accidents with urine.

Type of Play : 4. Parallel Academic History:

Is child enrolled in school: Yes
Type of school: Regular
Name of School: Paradise school
Grade: Daycare
Hours spent in school: 6 hours
Location: Melbourne

Diet History:

Food allergies: No
Junk food intake: Ocassionsal

Sleep History

Total sleep duration (night): 11 hours
Afternoon nap: Yes
Duration of Afternoon nap: 1.5 hours

Daily Screen Time

Duration: Zero
Type of screen: TV

Examination

a. Vitals:

b. Anthropometry:

Weight: 13 Kg Height: 95 cm Head circumference: 47 cm

c. General Examination

Dysmorphology: NAD Neurocutaneous markers: NAD

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

CVS examination: NAD
Respiratory System examination: NAD
Per abdomen examination: NAD

Impression: Language delay

Advice

Intervention plan: Counselled mother. Strategies advised for home
Evaluation: Language evaluation (later), BERA (later)
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food
4. No focus on academics at present

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