PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 1/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Picky eater

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

Hypersensitive

PatientId

3a3a821d-3ee0-4931-ab00-f6ccf0ff2a89

FollowUpId

5ebacf76-0c10-4ebd-8f77-ccd97986918a

Child's Name

Kavya Shivhare

Age

2 Year 11 Month 21 Days

Gender

Female

DOB

2023-09-12

Mother’s age (years)

34 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

36 years

Father’s education

Father’s occupation

Business

Type of family

Joint

Number of family members

12

Number of siblings

1

Details of siblings (Age and sex)

1.5 year male

Address

Shivpuri

Contact

9584593350

Referred By

Doctor

Informant

Parents

Chief concerns

Irrelevant speech, doesnt command follow

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

hand flapping, spinning

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

ASD. ?

Hopes from the consultation