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Home
About Us
Our Team
Theraphy Services
Autism Therapy
Speech Therapy
Occupational Therapy
Behavioral Therapy
Psychological Counseling
Special Education
Dance Therapy
Music Therapy
Meditation
Breathing Exercise
Online Enrollment
Appointment Booking
Contact Us
Online Enrollment
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Parent's Name
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Child's Gender
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Child Age
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Mobile Number
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Email
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Does the child respond when his name is called out?
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Is the child able to make eye contact with an adult?
Yes
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contact us hild able to follow simple instructions?
Yes
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Can a child give sustainable attention?
Yes
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Does the child walk steadily?
Yes
No
Is the child able to speak?
Yes
No
Is the child able to pronounce words with clarity?
Yes
No
Does the child enjoy playing with kids of his/her age?
Yes
No
Is the child involved in Aloof play?
Yes
No
Is there any pre-diagnosis?
Yes
No
Is there any motor difficulty the child is facing?
Yes
No
Is the child able to answer open ended questions like (how was your day?, what all happened in school)
Yes
No
Does the child know what to do with common things like a brush, phone, Spoon?
Yes
No
Does the child copy simple actions and words?
Yes
No
Do you feel he has lost skills which he had once?
Yes
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Advait Enclave #5, 1st Floor, 1st Cross, Sri Rama Temple Rd, Ashwini Layout, Ejipura, Bengaluru, Karnataka 560047
9916109882
info@arborbloomcare.com
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