PRELIMINARIES

•  Observation of the child :  behaviour
•  Observation of verbal and non-verbal communication
•  Observation of his/her relationship with parent(s)

INTERVIEW

1.  Motive for consultation
 
2.  Requested by :
 
3.  Family structure (number of children / employment / housing / care of the child / language spoken)
 
4.  Family antecedents (father, mother, siblings, grand-parents)
 
5.  Child’s antecedents

A. Obstetric and neonatal circumstances

•  pregnancy
•  birth (full-term or premature, weight, Apgar test results, reanimation, treatment if any)
•  early development (illness, hospitalisation ...)

B.  Medical history (general, ENT, stomato-, neuro-, ophtalmo- ongoing treatments ...)

C.  Surgical history (general, ENT, ophtalmo- or stomato- interventions...)

 6.  Child’s psychomotor development

•  sitting position
•  crawling
•  walking
•  continence by day/night
•  stairs - bicycle ...

 
7.  Development of oro-facial function

•  feeding
•  sucking/swallowing
•  chewing
•  dentition
•  morphological anomalies if any

        Nivelles (B), 1st May 1999