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DEVELOPMENTAL HEALTH HISTORY (School Age Children) Child's Name Nickname Birthdate PHYSICAL HEALTH What health problems has your child had in the past? What health problems does your child have currently?
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How to fill out developmental health history
How to fill out developmental health history
01
Step 1: Gather all necessary information about the individual's developmental health history, including medical records, previous assessments, and any relevant documents.
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Step 2: Begin by filling out basic personal information, such as name, date of birth, and contact information.
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Step 3: Provide details about the individual's prenatal and birth history, including any complications or significant events during pregnancy, labor, and delivery.
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Step 4: Document the individual's early childhood development milestones, such as sitting up, crawling, walking, speaking, and any delays or concerns related to these milestones.
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Step 5: Include information about any medical conditions or illnesses the individual has experienced during their developmental years, along with any treatments or therapies received.
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Step 6: Mention any significant life events or changes that may have had an impact on the individual's development, such as a change in family situation or traumatic event.
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Step 7: If applicable, provide information about the individual's educational history, including any special education services or accommodations received.
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Step 8: Consider including information about the individual's social and emotional development, including their interactions with peers, communication skills, and behavioral patterns.
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Step 9: Review and double-check all information entered to ensure accuracy and completeness.
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Step 10: Keep the developmental health history document updated as new information becomes available or changes occur in the individual's development.
Who needs developmental health history?
01
Parents or guardians of children.
02
Pediatricians or healthcare professionals.
03
Schools or educational institutions.
04
Special education programs or therapists.
05
Individuals undergoing developmental assessments or evaluations.
06
Researchers studying child development.
07
Government agencies involved in child welfare or disability services.
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