PatientInfo

Is child enrolled in school

Yes

Intervention plan

IDP 2/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

35e4343a-f6b3-40ce-a8d1-3d3953056604

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Adhvik

Age

3 Year 1 Month 2 Days

Gender

Male

DOB

2023-07-29

Mother’s age (years)

34 years

Mother’s education

Mother’s occupation

Interior designer

Father’s age (years)

34 years

Father’s education

Father’s occupation

Research work

Type of family

Nuclear

Number of family members

Number of siblings

Details of siblings (Age and sex)

Address

Gurgaon

Contact

7067267393

Referred By

Doctor

Informant

Mother

Chief concerns

Speech delay

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

spinning

Patterned behavior or activities

If yes- Details

Others

Details:

Arranging objects in que

Impression

? ASD

Hopes from the consultation