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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.
•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.
Provide information on community programs.
by a local
health unit or
or local health
Goals of the 18 Month Visit
•Monitor growth and development of child using the Nipissing District
Developmental Screen and the Rourke Baby Record.
•Address parental concern about healthy child development and behaviour.
•Provide information about parenting and other community programs that
promote healthy child development and early learning.
•Refer to specialized services when needed so children have access to
interventions as early as possible.
•Develop effective partnerships amongst parents, primary care providers and
Nipissing District Developmental Screen
A parent survey tool to understand and review child development at various ages.
Rourke Baby Record
A tool for physician/nurse practitioners to monitor the child’s ﬁrst 5 years
24 Month Ofﬁce Visit –
18 Month Well Baby Ofﬁce Visit
•Nipissing District Developmental Screen (NDDS)
•Rourke Baby Record
If concern requires further medical or developmental
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