The CE provider will describe and discuss, as appropriate:

1. a. 

   Use of assistive devices(s) or brace(s) being used, when they are used, and who prescribed their use;

2. b. 

   Complete description of seizures including type and severity, aura, behavior prior to seizure, diurnal or nocturnal, frequency per month during the past year, duration of episodes, postictal phenomena, and date of last three seizures;

3. c. 

   Cognitive impairment;

4. d. 

   For children under age 6, a history of developmental milestones;

5. e. 

   Motor weakness;

6. f. 

   Sensory aberrations;

7. g. 

   Problems with speech;

8. h. 

   Problems with swallowing;

9. i. 

   Problems with voiding and defecation; and

10. j. 

    Headaches including known triggers, frequency, length and response to treatment.

The CE provider will describe and discuss, as appropriate:

1. a. 

   Hand dominance;

2. b. 

   Cranial nerve evaluation, including the ability to fix and follow for vision;

3. c. 

   Motor strength and how tested, reflexes, muscle bulk, and tone;

4. d. 

   For children who cannot participate in muscle strength testing, record observations of abilities such as rolling over, sitting, pulling, and standing;

5. e. 

   Abnormal movements;

6. f. 

   Gait and fine motor coordination;

7. g. 

   Sensation and how tested;

8. h. 

   Assistive device(s) or brace(s) brought to examination with description and opinion regarding its medical necessity;

9. i. 

   Mental status examination: details about the mental status examination, as appropriate based on child's age; and

10. j. 

    Speech functioning, including:

    1. 1. 

       Intelligibility and fluency;

    2. 2. 

       Aphasia;

    3. 3. 

       Dysarthria;

    4. 4. 

       Stuttering; and

    5. 5. 

       Involuntary vocalizations.