• Case History

    Case History

    For Speech/Language, Feeding, AAC, Literacy, Occupational Therapy
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  • Date of Birth*
     - -
  • Current Date
     - -

  • *Note: If the Board of Education covers the cost of your child’s evaluation, we can share the report only with your child’s Case Manager. We are not able to send it directly to other professionals or agencies.

  • Do you want a copy of our report sent out to your child's doctor?*
  • Does your child have a formal diagnosis?*
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  • FAMILY HISTORY

  • Have any members of your immediate family been diagnosed with any of the following: (indicate “F” for father, “M” for mother, or “S” for sibling)
    -learning disability      
    -dyslexia      
    -speech and language delay/disorder      
    -sensory processing disorder      
    -auditory processing disorder      
    -ADD/ADHD      
    -autistic spectrum disorder      

    -other, please explain      



  • BIRTH HISTORY


  • Check which is applicable: This is our             *               child

    Did the mother have medical problems during the pregnancy:       *        

    If yes, please describe, including medical attention:                

    Was the child full term?       *           

    If no, what was the gestational age?      

    Were there complications during delivery?        *          

    If yes, explain:         

    Child’s weight at birth:      

    Any birth injuries?                  

    If yes, explain:             

    What special medication attention or treatment did the child receive at birth, if any?        

  • MEDICAL HISTORY

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  • Child's health is:               
    Is the child now under medical treatment or on medication?                  
    If yes, please explain:      

    MEDICAL EXAMINATION HISTORY

    Month/year of last PHYSICAL EXAM    
    Doctor   
    Results:      
    Month/year of last VISION TEST    
    Doctor   
    Results:      
    Month/year of last HEARING TEST    
    Doctor   
    Results:      

    Did/does child wear a hearing aid?                  Glasses?      
    If yes, explain:      
    Dates of other pertinent medical examinations (e.g., neurological, psychological and ENT):
    Date:   Pick a Date  Doctor:      
    Results:  
    Date:   Pick a Date  Doctor:      
    Results:        
    Date:   Pick a Date  Doctor:    
    Results:        

  • DEVELOPMENTAL MOTOR HISTORY

    Disclaimer: Please include and fill out all of the following forms.
  • Did/does the child use a pacifier?                  

    If yes, age weaned from pacifier      

    Does the child continue to mouth objects?                  

    Did/does the child suck thumb/fingers?                    

    If yes, until when?      

    Does the child suck on hair/clothing/blanket/etc?                  

    If yes, what?      


    Did your child meet the following milestones on time?

    -Sat up                   

    Please indicate the month (an estimate is perfectly fine)      

    -Crawled            

    Please indicate the month (an estimate is perfectly fine)      

    -Stood         

    Please indicate the month (an estimate is perfectly fine)         

    -Walked            

    Please indicate the month (an estimate is perfectly fine)            

    -Ran           

    Please indicate the month (an estimate is perfectly fine)         


    Does the child enjoy taking a bath?         

    -Swings?         

    -Large gatherings?              

    -Roughhousing?               

    Does the child resist toothbrushing?                 

    Child prefers to primarily play:              

    Is child overly sensitive to:  

    -loud sounds                  

    -bright lights         

    -tags               

    Does your child have difficulty:

    -Falling asleep?            

    -Staying asleep?            

    Does your child snore:           

    Is the child toilet trained?            

    If yes, at what age was he/she:    

    -Bladder trained      

    -Bowel trained      

    -Night trained      

    Check all that your child can do independently:                           

    Which hand does the child use more frequently?            

  • PLAY SKILLS
    My child can play independently:            
    Does your child take part in playgroups/play socially with peers?   

    At an age-appropriate level, my child knows:
    colors               
    shapes               
    letters               

    Child can:
    play imaginatively                    
    complete a puzzle            
    cut with scissors            
    write his/her name            
    color/draw            

  • SPEECH, LANGUAGE AND HEARING DEVELOPMENT

    Disclaimer: Please include and fill out all of the following forms.
  • My child is:            
    Is the child exposed to more than one language?            
    If yes, which languages?      
    Did child babble during the first 6 months?            
    At what age did child say first word?      
    What were the child’s first words?      
    Did the child keep adding words once he/she started to talk?            
    If no, explain:      
    At what age did the child begin using 2 and 3-word phrases/sentences?      
    Did speech learning ever seem to stop for a period of time?            
    If yes, explain:      
    Does your child talk a lot?            
    Does the child prefer to:                             
    Does the child most frequently use:                                              
    List examples:      
    Does your child make some sounds incorrectly?            
    If yes, which ones?      
    Does your child hesitate, “get stuck,” repeat, or stutter on sounds or words?            
    If yes, describe:      
    Describe any recent changes in the child’s speech:      
    Can the child tell a simple story?                  
    How well is he/she understood by the following individuals? (indicate “A” for all the time; “M” for most of the time; “S” for some of the time; or “R” for rarely)
    -Parents      
    -Siblings      
    -Teacher(s)      
    -Friends      
    -Strangers      
    -Comments:      
    Does the child seem to understand what you say to him/her?         
    If no, explain:      
    Does your child consistently answer to his/her name?            
    Does your child follow simple commands?            
    Please describe/give examples:      
    Does your child ever have trouble remembering what you have told him or her?            
    If yes, explain:      
    Does your child enjoy looking at books?                                     p>                  p>

  • FEEDING HISTORY

    Disclaimer: Please include and fill out all of the following forms.
  • Any difficulties breastfeeding and/or bottle feeding?           
    If yes, please explain:             
    Age when weaned off bottle      
    Were there any feeding difficulties during infancy?                  
    If yes, describe      
    Do you have any concerns regarding the child's weight?                 
    Did your child meet milestones for the introduction of the following foods:
    -Pureed foods (e.g., rice cereal, Stage 1 jarred)?      
    -Soft chewables      
    -Table food      
    Did the child have difficulty transitioning to different food textures?       
    If yes, explain:      
    Does your child have a limited diet due to “picky eating?"                 
    If yes, describe:      
    Does your child have any food allergies?                  
    If yes, please list:      
    Does your child have any known gastrointestinal issues?                  
    If yes, explain:      
    Check all that apply: 
    -Child:                     
    Is adult assistance needed with feeding?                 
    If yes, explain:      
    Have you ever been concerned with your child's ability to safely swallow solid food?                  
    Does child cough on liquids?                  
    Can child chew well?                  
    Does he/she drool?                  
    If yes, when?      

  • EDUCATION

    Disclaimer: Please include and fill out all of the following forms.
  • EDUCATION
    My child attends:      
    Name of School          Grade/Level       
    In school, my child performs:      
    What are the child’s best subjects?      
    Has he or she repeated a grade?               
    If yes, which one(s)?      
    What is your impression of your child’s learning abilities?      
    What is your impression of your child’s social skills?      
    Does your child display any behavioral or attentional issues at school?
            
    If yes, explain:         
    Does your child participate in extracurricular activities?                
    If yes, please list:         
    What are your child's favorite interests (e.g. favorite TV show, toys, characters, movies, subjects)      

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