It was a pleasure to see Daniel (age 4 years, 2 months) in clinic on January 9, 2014 as part of his ongoing developmental assessment. Developmental testing was conducted to assess his social communication, behavior and interactions, and to identify any restrictive interests or repetitive behaviors. A physical examination and some brief cognitive measures were also obtained. Daniel's father accompanied him on this visit. Daniel was first seen at the developmental clinic on December 19, 2013. At that time, his family's concerns were about his overall development – ​​they wondered if he was behind schedule. Daniel's parents also worry about his social communication and how he interacts with others; they note that he is often not as engaged with others. In the meantime, Daniel continued in his kindergarten class. He also continued to receive early intervention services with Vimmi from Adventure Place. Vimmi observed Daniel at school and noticed that he played in a reciprocal and sustained manner with the other children in his class. He seemed more reserved around adults, but he apparently fit into the classroom routine. Adventure Place continued to work with his family on community resources and behavioral strategies for the home environment.ADOS-2: For today's assessment, we administered the Childhood Diagnostic Observation Schedule. autism – second edition. The ADOS-2 is a standardized semi-structured assessment of language, social interaction and play, or imaginative use of materials in individuals who have been referred due to a possible autism spectrum diagnosis. The ADOS is designed to elicit behaviors relevant to the diagnosis of autism spectrum disorders. The module used determines ...... middle of paper ......ng not and is a good runner, equivalent age 3 years 2 months. Thanks to his fine motor skills, Daniel can unwrap a small package and write some of its letters and numbers. He holds his pencil appropriately, age equivalent to 4 years 5 months. The total motor skills composite was at the 42nd percentile for age.PRINT AND PLAN:In summary, Daniel is a 4 year 2 month old boy undergoing developmental assessment. Today's test results showed that Daniel has many strengths, but struggles in some areas related to social communication. Information from all sources will be reviewed. I will meet with Daniel's parents again and we will review our test results, discuss Daniel's overall clinical picture, and make recommendations for future plans. I plan to send a message at that time. Thank you for involving me in Daniel's care..