UPDOX - PATIENT PORTAL

Patients Name * Date of Birth *

Social and Emotional

1. Beings to smile at people * 2. Can briefly calm herself * 3. Tries to look at parents *

Language/Communication

1. Coos, makes gurgling sounds * 2. Turns head toward sounds * 3. Raises head and chest when laying on tummy *

Cognitive

1. Pays attention to faces * 2. Begins to follow things with eyes and recognize people at a distance * 3. Begins to act bored if activity doesn't change *

Movement/Physical Development

1. Can hold head up and beings to push up when laying on tummy * 2. Makes smoother movements with arms and legs * Name of Parent/Guardian *