Early Intervention Evaluation

Child's Information:

Name:

Date of Birth:

Date of Evaluation:

Evaluator's Information:

Name: [Your Name]

Contact Information: [Your Email]

Introduction:

This evaluation aims to assess the developmental progress of [Child's Name] in various domains. The information gathered will be used to determine if early intervention services are necessary. Confidentiality Statement: All information provided in this evaluation will be kept confidential and used solely for assessment and intervention purposes.

Developmental Domains:

Physical Development:

Assessment Tool: ____________________

Instructions: _________________________

Scoring Criteria: ______________________

Observation Notes:___________________

Cognitive Development:

Assessment Tool: ______________________

Instructions: _________________________

Scoring Criteria: ______________________

Observation Notes:___________________

Communication Development:

Assessment Tool: ______________________

Instructions: _________________________

Scoring Criteria: ______________________

Observation Notes:

Social-Emotional Development:

Assessment Tool: ______________________

Instructions: _________________________

Scoring Criteria: ______________________

Observation Notes:____________________

Adaptive Development:

Assessment Tool: ______________________

Instructions: _________________________

Scoring Criteria: ______________________

Observation Notes:___________________

Parent/Guardian Input:

Please provide information about your child's development, concerns, and family history.

• Developmental Milestones: _______________________

• Medical History: _______________________________

• Previous Evaluations/Interventions: _______________

Recommendations: Based on the evaluation findings, the following recommendations are suggested:

• Referral for further evaluation: __________________

• Early intervention services: ____________________

• Strategies for supporting development at home: ______

Signatures: I acknowledge that I have reviewed the evaluation findings and recommendations.

[YOUR NAME]

[DATE SIGNED]

[PARENT/GUARDIAN]

[DATE SIGNED]

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