• Neuropsychometric evaluation performed since last visit
• Overall neuropyschometric impression
• Patient has mental health concerns
• Referred for further mental health assessment
• Type of provider/service to whom patient was referred for mental health assessment
• Type of provider/service to whom patient was referred for mental health assessment-other, specify
• Behavioral concerns
• Referred for further behavioral assessment
• Referred for further behavioral assessment-Explain
• Type of provider/service to whom patient was referred for behavioral assessment
• Type of provider/service to whom patient was referred for behavioral assessment-other, specify
• Special education assessment recommended
• Reason special education services received
• Special education category
• Genetic testing performed for patient, sibling(s), or parent(s) since last visit
• Genetic testing information updated on the Intake Initial Testing form.
• Physiological tests associated with this visit
• Imaging studies associated with this visit
• Audiology testing associated with this visit
• Eye exam associated with this visit