Follow the steps to ensure a complete submission of the form.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editing tool.
2. Begin by filling out the general information section, which includes the patient’s name, date of birth, and details about the guardian, such as their relationship, occupation, contact number, and email address.
3. Complete the referral information by providing the name of the person who referred the child and the name and phone number of their pediatrician.
4. Indicate whether the child lives with both parents and provide additional details if applicable, including the names and ages of siblings and any other individuals residing in the home.
5. Specify the languages spoken by the child and in the home environment, as well as information about who the child spends most of their time with.
6. Fill in the favorite snack and beverage of the child, along with any food allergies, to support their comfort during evaluations.
7. Provide details regarding the child's activities, hobbies, and games they enjoy, followed by a description of the speech-language issue they are experiencing.
8. Describe how the child communicates and interacts with others, along with the history of when the issue was first noticed and any suspected causes.
9. Complete sections for the child’s medical history, including health conditions during pregnancy, any surgeries, and current medications.
10. Document developmental milestones and any educational history, including academic performance and any special services received.
11. After filling out all sections, review the information for accuracy, and save changes to your file. Options for downloading, printing, or sharing the form will be available.

Start completing the Lamar University Child Case History online today to support your child's evaluation process.