Recommended content | Content included on the UW FASD Diagnostic Form or New Patient Information Form |
---|---|
History: | Yes |
  Family/social | Yes |
  Prenatal medical | Yes |
  Obstetric | Yes |
  Neonatal | Yes |
  Developmental | Yes |
  Academic | Yes |
  Current problems | Yes |
  Pre + post natal alcohol +  other prenatal exposures | Yes |
  Paternal drinking | Yes |
  Drug and alcohol use in the child or individual | Yes |
  Early life trauma | Yes |
Examination: | Yes |
  Growth | Yes |
  Head circumference | Yes |
  Dysmorphology | Yes |
  Central nervous system | Yes |
  Birth defects | Yes |
Medical investigations | Yes |
Diagnostic criteria | Yes |
Exclusion of other diagnoses | Yes |
Reporting final diagnosis by category | Yes |
Results summary: strengths and areas of need | Yes |
Follow-up and management plan | Yes |