Get the free Case History-Tongue Thrust Ages 6-11

CASE HISTORY FORM Tongue Thrust Ages 611 Form Completed By: Relationship to Child: Date: Who referred you to our clinic? CHILD AND FAMILY INFORMATION: Child's Name: First Middle Last Name your child

How to fill out case history-tongue thrust ages

Who needs case history-tongue thrust ages?

1. Speech and language pathologists (SLPs)
2. Orthodontists
3. Dentists
4. Otolaryngologists (ENT doctors)
5. Myofunctional therapists

How to fill out case history-tongue thrust ages:

1. Start by gathering the necessary information about the patient, such as their name, date of birth, and contact details.
2. Ask the patient or their parent/guardian to provide details about their medical history, including any known allergies, previous surgeries, or existing medical conditions.
3. Inquire about the patient's family history, including whether there are any relatives with speech or orofacial concerns.
4. Ask the patient or their parent/guardian about their current concerns and reasons for seeking assessment or treatment for tongue thrust.
5. Inquire about the patient's swallowing patterns, including any difficulty or discomfort experienced during eating or drinking.
6. Ask the patient or their parent/guardian about any previous speech therapy, orthodontic treatment, or other interventions related to tongue thrust.
7. Assess the patient's overall oral hygiene habits, including frequency of tooth brushing and flossing.
8. Inquire about the patient's dietary habits, particularly if they consume any foods or drinks known to contribute to improper swallowing patterns.
9. Ask the patient or their parent/guardian about any known tongue or jaw habits, such as thumb sucking, nail-biting, or persistent mouth breathing.
10. Finally, request information about any additional relevant factors, such as the patient's academic performance, overall communication skills, and any social or emotional concerns related to their tongue thrust.

Remember to treat all information provided with confidentiality and ensure that the patient or their parent/guardian understands the purpose and importance of filling out the case history form accurately.

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What is case history-tongue thrust ages?

Case history-tongue thrust ages is a form used to gather information about a patient's history of tongue thrusting behavior at different ages.

Who is required to file case history-tongue thrust ages?

Dentists, orthodontists, and speech therapists are required to file case history-tongue thrust ages for their patients.

How to fill out case history-tongue thrust ages?

Case history-tongue thrust ages can be filled out by providing detailed information about the patient's history of tongue thrusting behavior at different ages, as well as any relevant medical or dental history.

What is the purpose of case history-tongue thrust ages?

The purpose of case history-tongue thrust ages is to help healthcare professionals assess and address any issues related to tongue thrusting behavior in patients.

What information must be reported on case history-tongue thrust ages?

Information such as the patient's age, frequency of tongue thrusting behavior, any related medical conditions, and treatment history must be reported on case history-tongue thrust ages.