NGO & Disability School for Mentaly Retarted, Handicapped and Disabled Children with Residential Facilities ngo's in india, disability school, special schools india
Residential Schools in India Handicapped Schools in India Disability Schools India Special Schools India Special Schools India
NGO for Children with Cerebral Palsy, ADHD, Autistic, Aspergers, Mentally Retarted, MR, Down Syndrome

                         

MOTHER AND CHILD WELFARE AND RESEARCH FOUNDATION INDIA is a NON-PROFIT secular organization, with RESIDENTIAL FACILITIES, Fully Equipped with the Pre school and School Session, providing Education and Training to all kinds of CHILDREN and ADULTS with Behavior Problems and Multiple Disabilities like Autism, Slow Learners, Aspergers, ADHD, Mental Retardation, Down Syndrome, Cerebral Palsy, Hearing, Speech and Visual Impairment, etc.


 

" KINDLY TAKE YOUR TIME AND FILL IN THE BEHAVIOUR/COUNSELING FORM CORRECTLY "

Name of Student:

  

Date of Birth:

  

IQ Level/Class:

  

Sex:

  

Languages Spoken:

  

Childhood History:

  

Immunization History:

 

Developmental Milestone:

 

General Behavior:

 

What keeps your child, calm and happy (please specify like gifts, chocolates, etc.):

  

Are there any particular times of the day when the problems / behavior is more likely to occur:

  

Does the problem occurs in the presence of particular person, if yes please provide details:

  

Was the child asked to do something or was the child refused something prior to the problem, if yes please specify:

  

How many times a day or how long does the problem occur with your child:

  

What do you or others generally do, immediately following the problem:

  

Which person in your house or outside the house are most affected by the problem:

  

How do you comfort your child at the time of the problem:

  

Please provide us with the medical history / disorders, etc. of the child:

  

Medication History (allopathic / homeopathic medicine in the past / current prescribed by a physician & name of physician/doctor):

  

Hobbies / Sports / Games / Likes and Dislikes, etc.:

  

Past time Behavior / Leisure Activities, etc.:

  

Problems in Speech / Physical Movements, etc.:

  

Nature, Name and Full Address of the School (Special / Integrated / Normal, Dates, Class till, etc.) :

  

School History & Date of Joining (if any) :

  

Attendance in School (details):

 

Interaction with People, Friends, Neighbors, Relatives at Social Gatherings, etc. (if any) :

  

Interaction with Strangers, etc. (if any) :

  

Major Emotional & Behavioral Problem:

 

Type of Family (joint/nuclear & number of persons):

 

What kind of Help/Support/Guidance are you looking for from us
(in brief, like want them to be independent, basic education via national open school, etc.):

 

Anything you would like to inform us about, (about his toilet training, does he get fits, about his fooding habits, other remarks etc):

 

Is your Child Toilet Trained?:

                    Yes      No

Have you heard about Treatment with NUMEROLOGY ?:

                    Yes      No

Interested to know how NUMEROLOGY can help your child ?:

                     Yes      No

Fathers Name:

  

Occupation/Designation/Business:

  

Mothers Name:

  

Occupation/Designation/Business:

  

Full Residential/Postal Address:

 

City:

 

Pin:

 

Country:

 

Telephone (incl.country & city code):

 

Mobile (incl.country & city code):

 

Facsimile (incl.country & city code):

 

How did you get to know us:

  

E-Mail:

 

 

 

DAILY QUOTES

The best way to find yourself is to lose yourself in the service of others - Mahatma Gandhi

OUR THERAPIES

Early Intervention | Special Education | Speech Therapy | Physiotherapy | Computer Therapy | Pet Therapy
Vocational Therapy | Occupational Therapy | Yoga & Meditation | Play & Recreation | What's New?

OUR SERVICES

The School | Rules & Regulations | Students Corner | Photo GalleryMother TeresaMental Health/Retard
Behaviour/Counseling Form | Admission FormAssociate with us | Commendations | Celeb's Support

ABOUT US

About Us | Activities | Aim & Objectives | Future Plans | Sponsors | Product RangeSponsor A Child
Home | Team | Careers | FAQ's | Links | Disability Study | Location Plan | Downloads | Contact | Query

24X7 HELPLINES

Vodafone: +(91)-98308 88888, 98300 28888 Airtel: +(91)-98310 28888
Reliance: +(91)-93300 28888, 93390 52222 Landline: +(91)-(33)-3299 2888