Get Child/adolescent Intake And Developmental History Form

Filling out the Child/Adolescent Intake And Developmental History Form online is an essential step in providing accurate information for a child's evaluation. This guide will walk you through each section and field of the form to ensure you have a smooth online experience.

Follow the steps to complete the form successfully.

1. Press the ‘Get Form’ button to access the form and open it in your online editor.
2. Begin by providing your child's GI medical history. Indicate if your child is followed by a gastroenterologist and list any relevant medical findings from past procedures related to feeding.
3. Document the bowel habits by filling in the frequency of bowel movements and the consistency. Answer any questions regarding constipation and related medications.
4. Fill in the early feeding history by stating whether your child was breastfed or bottle-fed, including details like duration and any difficulties experienced during feeding.
5. Describe your child’s food preferences, any allergies, and their appetite. Note how your child indicates hunger and whether their habits match anyone else in your family.
6. Provide details about your child's mealtime behaviors, who usually feeds them, and their seating position during meals.
7. Complete the oral motor history section, noting any relevant behaviors such as drooling, placing toys in their mouth, and dental care.
8. Fill out the three-day food log accurately, including the time and types of food consumed during each meal, to offer a detailed insight into your child's eating habits.
9. Once you have filled out all sections, ensure all information is correct, then save your changes. You may choose to download, print, or share the completed form as needed.

Start filling out the Child/Adolescent Intake And Developmental History Form online today for a comprehensive evaluation.