UPDOX - PATIENT PORTAL

Patient Name * Date of Birth *

Social and Emotional

1. May be afraid of strangers * 2. May be clingy with familiar adults * 3. Has favorite toys *

Language/Communication

1. Understands "no" * 2. Makes a lot of different sounds like "mama mama" and "bababababa" * 3. Copies sounds and gestures of others * 4. Uses fingers to point at things *

Cognitive (learning, thinking, problem-solving)

1. Watches the path of something as it falls * 2. Looks for things she sees you hide * 3. Plays peek-a-boo * 4. Puts things in his mouth * 5. Moves things smoothly from one hand to the other * 6. Picks up things like cereal o's between thumb and index finger *

Movement/Physical Development

1. Stands, holding on * 2. Can get into sitting position * 3. Sits without support * 4. Pulls to stand * 5. Crawls * Signature of Parent/Guardian *