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15 mo Developmental 18 mo Developmental 2020 - Covid Policy Addendum 2020- Established PT Update 2020- Health History 2020- New Patient Intake 2020- Office Policy/CCOF 24 mo Developmental 3 yr Developmental 30 mo Developmental 6 mo Developmental 9 mo Developmental ACT--Asthma control Test (12yr+) ACT--Asthma control Test (4-11yr) ADHD Parent Follow Up ADHD Parent Initial Behavioral intake (for ages 8 and older) Behavioral intake (up to 7 years old) BF 1 Month BF 10yr BF 11-14yr BF 12 Month BF 15 Month BF 15-17yr BF 18 Month BF 18-21yr BF 2 Month BF 2 Year BF 2-5 Day BF 2.5yr BF 3 Year BF 4 Month BF 4yr BF 5yr BF 6 Month BF 6yr BF 7yr BF 8yr BF 9 Month BF 9yr Complete Packet- 1 month Complete Packet- 10 year Complete packet- 11-14 yr Complete Packet- 12 months Complete Packet- 15 months Complete packet- 15-17year Complete Packet- 18 months Complete Packet- 24 months Complete Packet- 3 year Complete Packet- 4 Year Complete Packet- 5 yr Complete Packet- 6 Months Complete Packet- 6 yr Complete Packet- 7 yr Complete Packet- 8 Year Complete Packet- 8 Year Complete Packet- 9 Months Complete Packet- 9 year Complete Packet- Older Adolescent Packet 15-18 (child) Complete Packet- Younger Adolescent 11-14 (Child) Covid consent Edinburgh Postnatal Depression Scale (EPDS) GAPS 11-14yr GAPS 15-18yr Generalized Anxiety Disorder 7-Item Scale HCY Lead Risk Assessment Guide M-CHAT PHQ 9 Release of records TO IDEAL PEDIATRICS SCARED TB Risk Assessment Form Vaccine Declination Vaccine FLU Contraindications Vaccine Screening for Contraindication Vaccine VFC Eligibility Screening
30 mo Developmental

30 month Developmental

On the following pages are questions about activities babies may do. Your baby may have already done some of the activities described here, and there may be some your baby has not begun doing yet. For each item, please fill in the circle that indicates whether your baby is doing the activity regularly, sometimes, or not yet.

Communication

Please select the activities your child can complete and then select yes, sometimes, not yet below.
Please provide example below

Gross Motor

Fine Motor

Problem Solving

You will need to draw a snowman or person for this activity

Personal-Social

Overall

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