intake for child rehabilitation nursery for age 3
Child's Information
Medical History
- Include the name of the child's primary care physician
- Provide the doctor's contact information including phone number and address
Developmental Milestones
- Assess ability to form sounds and words
- Observe ability to communicate needs and wants
- Evaluate vocabulary and sentence structure
- Observe interactions with peers and adults
- Assess ability to take turns and share
- Evaluate empathy and understanding of emotions
- Assess fine motor skills such as grasping objects
- Observe gross motor skills like running and jumping
- Evaluate coordination and balance
- Assess problem-solving skills
- Observe ability to understand cause and effect
- Evaluate memory and attention span
- Assess ability to pick up small objects
- Observe hand-eye coordination
- Evaluate handwriting skills
- Observe running, jumping, and climbing abilities
- Assess coordination and balance
- Evaluate ability to throw and catch a ball
- Assess ability to find solutions to challenges
- Observe critical thinking skills
- Evaluate creativity and flexibility in problem-solving
- Assess ability to remember instructions
- Observe ability to stay focused on tasks
- Evaluate attention span in various activities
- Observe ability to understand and follow directions
- Assess vocabulary and ability to express thoughts
- Evaluate use of language in different contexts
- Observe how child handles emotions like frustration
- Assess ability to calm down when upset
- Evaluate coping strategies in challenging situations
- Assess ability to dress and undress independently
- Observe feeding skills like using utensils
- Evaluate toileting independence
- Observe ability to engage in pretend play
- Assess creativity and imagination during play
- Evaluate interaction with toys and peers
- Assess ability to listen and follow instructions
- Observe participation in group games and activities
- Evaluate cooperation and interaction with peers
Behavioral Assessment
Family Dynamics
Educational Background
Goals for Rehabilitation
- Collaborate with parents/guardians to establish achievable long-term goals for the child's rehabilitation.
- Create individualized plans for each child based on their specific needs and abilities.
- Monitor progress towards long-term goals and make adjustments as needed.
- Provide input on the child's strengths, challenges, and goals for rehabilitation.
- Participate in therapy sessions and follow any recommendations or exercises given by the rehabilitation team.
- Attend regular meetings with the rehabilitation team to discuss progress and next steps.
- Provide a safe and nurturing environment for children to learn and grow.
- Implement therapy plans and activities as directed by the rehabilitation team.
- Communicate regularly with parents/guardians regarding the child's progress and any concerns.
Use in Manifestly