Child Aesthetic Developmental Therapy Doctor Note
Patient Information
Patient’s Name: Michael Thompson
Date of Birth: January 15, 2055
Patient ID: 001234567
Parent/Guardian Name: Sarah Thompson
Contact Information: (555) 987-6543
Visit Details
Date of Visit: October 1, 2090
Session Type: Initial Evaluation
Duration of Session: 60 minutes
Developmental Assessment
Reason for Referral: Michael was referred by his pediatrician due to concerns about delayed speech and social interactions with peers.
Developmental History: Michael reached major milestones such as walking at 12 months and potty training by 3 years. However, his speech has been limited to single words, and he struggles with turn-taking in play.
Current Developmental Level: Michael demonstrates a moderate delay in expressive language skills. He can follow simple instructions but has difficulty initiating conversation and using two-word phrases.
Observations
Therapy Goals:
Interventions Used:
Engaged Michael in play-based activities, incorporating visual aids and repetition of simple phrases.
Implemented turn-taking games to encourage social interaction.
Progress Made: Michael responded positively to visual cues and was able to imitate two-word phrases during play. He showed interest in interactive activities but required prompting to initiate conversations.
Recommendations
Follow-Up Appointments:
Home Exercises:
Parents are encouraged to engage Michael in simple storytelling using picture books to promote language development.
Suggest daily playtime activities that involve turn-taking games, such as board games or simple card games.
Additional Referrals:
Provider Signature
Dr. [Your Name], M.D
[Your Email]
License Number: MD123456
