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PEDIATRIC NEURODEVELOPMENTAL HISTORY FORM___ Child's Name___ Date Completed___ Person Completing Form Wasatch Pediatric Neuropsychology, Inc Julien Smith, Ph.D. Julia Jacobs, Pay. D. Pediatric NeuropsychologistsChilds
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Gather all required information about the child's medical history and current concerns.
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Schedule an appointment with a pediatric neurodevelopmental specialist.
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Bring all necessary documents and previous test results to the appointment.
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Work with the specialist to complete questionnaires and assessments about the child's development.
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Discuss any concerns or questions with the specialist during the appointment.
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Follow up with the specialist for any additional testing or treatment recommendations.

Who needs pediatric neurodevelopmental?

01
Children who are experiencing developmental delays or concerns in areas such as speech, motor skills, social interactions, or cognitive abilities.
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Parents or caregivers who are seeking a diagnosis or treatment plan for a child's developmental issues.
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Healthcare professionals who suspect a child may have a neurodevelopmental disorder and need further evaluation.
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Pediatric neurodevelopmental refers to the study and assessment of a child's neurological and developmental progress.
Pediatric neurodevelopmental assessments are typically completed by pediatricians, neurologists, psychologists, or developmental specialists.
Pediatric neurodevelopmental assessments are filled out by observing and interacting with the child, conducting tests and evaluations, and gathering information from parents or caregivers.
The purpose of pediatric neurodevelopmental assessments is to monitor and evaluate a child's neurological and developmental milestones, identify any potential delays or disorders, and provide appropriate interventions or treatments.
Information such as a child's medical history, developmental milestones, cognitive abilities, social skills, and motor skills are typically included in pediatric neurodevelopmental assessments.
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