Case history form to fill out for children with auditory processing disorder 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the Identifying Information section. Enter the date, child's name (first, middle, last), address, phone numbers, date of birth, and age. This information is crucial for accurate identification.
3. In the Family Background section, provide details about parents and siblings. Include names, ages, and occupations to give context about the child's environment.
4. Describe the Statement of the Problem clearly. Detail when the issue was first noticed and who observed it. This helps professionals understand the timeline of concerns.
5. Complete the Medical History section by indicating overall health status and any relevant birth history. This information can impact auditory processing assessments.
6. Fill out Developmental History by checking applicable milestones and providing comments on any delays or concerns.
7. In Academic History, list school details, current grade, teacher's name, and describe academic difficulties noted by educators.

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