REHABILITATION OF PATIENTS WITH CEREBRAL PALSY (CP)
Information for patients
Admission for treatment
Registration for treatment
Medical Questionnaire
Scheduled treatments
Accomodations in Clinic
Useful information
Consultations online
F o r u m
Drawings Gallery
About CP
Disability Rights
Medical Questionnaire
19.04.2008
Congress in Slovenia
09.04.2008
Prevelance of Cerebral Palsy: New Statistics
31.03.2008
Volodymyr Kozijavkin participates at the All-Ukrainian intellectualls forum
02.02.2008
Social Partnership for Children’s Health
12.12.2007
Norway officially recognizes the Kozijavkin Method
We comply with the
HONcode standard for health trust
worthy information:
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Patient data
Last name:
First name:
Date of birth:
Sex:
M
F
Main Diagnosis:
When and by who was made:
Other conditions:
Brief medical history:
Previous surgery
(type of operation, brief description):
Orthopedic, assisting devices:
Seizures:
Y
N
If yes, please explain type, frequency, intensity, date of the last one:
Current medication (what, dosage, reason):
Motor abilities
Head control:
Y
N
Describe
Rolling over:
Y
N
Describe
Crawling:
Y
N
Describe
Standing:
Y
N
Describe
Walking:
Y
N
Describe
Jumping:
Y
N
Describe
Cognitive development:
Comments:
Сontact person:
e-mail:
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International Clinic of Rehabilitation
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