Get Case History Form - The Autism Learning Center

Completing the Case History Form for the Autism Learning Center is a vital step in ensuring that your child receives the appropriate support and services. This guide provides clear instructions on how to accurately fill out the form online, ensuring a smooth and efficient process.

Follow the steps to complete the form effectively.

1. Use the ‘Get Form’ button to obtain the Case History Form and open it in your preferred document editor.
2. Begin by completing the general information section. Provide your child’s name, date of birth, address, and emergency contact information as well as parent details including names and occupations.
3. List any siblings along with their ages, and describe your child's care arrangements if both parents work.
4. Indicate the primary language spoken at home and assess how much of the child's language is understood by others.
5. Detail the child’s speech-language issue, communication methods, when the problem was first noticed, and if there have been any changes since.
6. Complete the section on prior evaluations by specialists, providing details on their observations and recommendations.
7. Indicate any speech, language, or hearing issues present in the family and describe any behaviors that concern you as a parent.
8. List your child's favorite activities and check the behaviors that you observe in your child.
9. Proceed to the prenatal and birth history section, providing information about the mother’s health during pregnancy, labor specifics, and any unusual conditions experienced.
10. Fill out the medical history section, indicating any illnesses, allergies, surgeries, and medications your child has had or is currently taking.
11. Move to the developmental history section and specify the ages at which your child achieved key developmental milestones.
12. Answer questions related to your child's educational history, including school details, academic performance, special services received, and social interactions.
13. Conclude by providing any additional relevant information that could assist in evaluating or addressing your child's needs, and ensure all sections are complete.
14. Finally, save your completed form and use the options provided to download, print, or share the document as needed.

Get started on completing your Case History Form online today!