SUBJECTIVE DATA [15 Months]

Interval History

What happened since the last health supervision visit? Be sure to include any parent concerns.

Examples

  • “What are you most proud of since our last visit?”
  • “What do you like most about your son/daughter?”
  • “What questions or concerns do you have about your child?”

Ask about past history. Any visits to the emergency department or urgent care? Any changes in the health of anyone in the family?

Development

Any specific concerns?

Language Development and Self-help Motor Development
Does your child

  • Help dress and undress self?
  • Begin to scoop with a spoon?
  • Point to pictures in a book?
  • Identify at least 2 body parts?
  • Name at least 5 familiar objects, such as a ball or milk?
 Gross Motor

  • Sit in a small chair?
  • Walk up steps with 2 feet each step and handheld?
  • Carry a toy while walking?

Fine Motor

  • Throwball a few feet while standing?
  • Scribble spontaneously?

Review of Systems

Do you have any concerns about your child’s

  • Development
  • Skin
  • HEENT
  • Breathing
  • Stomach
  • Genitals / Rectum
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