18 Month Well Baby Developmental Flow Chart18 Month Well Baby Developmental Flow Chart
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18 Month Well Baby Developmental Flow Chart
Community services work with primary care providers to assess growth and development,
provide support and education and connect families to resources.
18 Month Well Baby Office Visit
• Nipissing District Developmental Screen (NDDS)
• Rourke Baby Record

No Concern:

Concern:

Pediatric Assessment

Provide information on community programs.
(See reverse).

• Parent has concerns about their child’s
development or well being.
• One or more “no’s” on the NDDS.
• Area of difficulty noted on Rourke Baby Record.
• Medical concerns requiring follow up.

If concern requires further medical or developmental
assessment.

Fine &
Gross
Motor

Social
Emotional

24 Month Office Visit –
repeat surveillance

Vision

Hearing

Vision
screening
needs to
be done
by a local
optometrist or
opthamologist.

• North Bay
Audiology
• Near North
Hearing
Centre
• Timiskaming
Health Unit
• Pinecrest
Queensway
Health
Centre

Speech
Language