Fragile X Syndrome IHP

Student's Name *
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DoB
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Address
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Treating Physician
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Physician Fax Number

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Nursing Diagnosis: Impaired Verbal Communication
Nursing Diagnosis: Anxiety
Nursing Diagnosis: Risk for Injury
Nursing Diagnosis: Sensory Processing Difficulty / Risk for Sensory Overload
Nursing Diagnosis: Impaired Social Interaction
Nursing Diagnosis: Impaired Coping
Nursing Diagnosis: Self-Care Deficit
Nursing Diagnosis: Risk for Delayed Development / Impaired School Functioning
Nursing Diagnosis: Risk for Altered Health Maintenance
Nursing Diagnosis: Risk for Ineffective Health Management During Transition to Greater Independence
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IHP Developed By

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Date
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