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Developmental History

This developmental history provides information on a patient's development across multiple domains from infancy through age 7. Key developmental milestones are listed, such as head control achieved at 3 months, walking alone at 18 months, and running at 2.5 years for gross motor skills. Receptive language milestones included responding to sounds as a newborn and understanding commands without gestures at 2 years. Expressive language milestones included babbling at 8 months, using 2-word phrases at 2 years, and using full sentences at 4 years. The patient's overall rate of development is listed as normal. Educational history includes information on schools, grades, services received, and performance from age 3 onward.

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Nadine Bacalangco
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207 views1 page

Developmental History

This developmental history provides information on a patient's development across multiple domains from infancy through age 7. Key developmental milestones are listed, such as head control achieved at 3 months, walking alone at 18 months, and running at 2.5 years for gross motor skills. Receptive language milestones included responding to sounds as a newborn and understanding commands without gestures at 2 years. Expressive language milestones included babbling at 8 months, using 2-word phrases at 2 years, and using full sentences at 4 years. The patient's overall rate of development is listed as normal. Educational history includes information on schools, grades, services received, and performance from age 3 onward.

Uploaded by

Nadine Bacalangco
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

DEVELOPMENTAL HISTORY

Name of Patient:
Date of Birth:
Date of Evaluation:
Chronologic Age:
Informant:
Developmental concern (s):
Domain

Domain
Skill Age Achieved Skill Age Achieved

Head Control (3 mons) Responded to sound (NB)


Prone (6 mons) Turned to sounds (6 mons)

Receptive Language
Sat alone (10 mons) Responded to name (9 mons)
Gross Motor

Stand with support (10 mons) Understand “no” (12mons)


Walked alone (18 mons) Command with gesture (15 mos)
Ran (2 1/2 yr) Command w/o gestures (2 yrs)
Up/down stairs (2 ½ yr) Pointed to BP (18 mons)
Pedal a trike (3 1/2 yr) Gave name and age (4 yrs)
Pedal a bike (7-8 yr) Knew address/birthday (6yr)
Fixated (NB) Vocalized (2 mons)
Reached (5 mons) Laughed/squealed (6 mons)
Fine Motor

Expressive
Language

Held bottle (7 mons) Babbled (8 mons)


Scribbled (2 yrs) Mama/dada (12 mons)
Unbutton/button (4 yr) Jargons (18 mons)
Copy figures (3-4 yr) 2-word phrases (2 yrs)
Smiled responsively (2 mons) Used Sentences (4 yrs)
Waved bye2/clapped (12 mos) Bedwetting
Personal/Social

Ate alone (3 yrs) Fecal soiling


Behavioral

Undressed (4 yrs) Tantrums


Toiled Trained (4 yrs) Head banging
Dressed alone (5 yrs) Aggression
Helped with chores (6 yrs) Hyperactivity
Ran errands (7yrs) Others

Overall Rate of Development: ______Normal ________Slow ___________Fast

Educational History
Age Level/Grade Regular/SPED Teacher: Pupil ratio Performance

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