Pediatric Developmental Motor Assessment Inspection

This template is designed for standardized pediatric motor assessments such as the Peabody Developmental Motor Scales, BOT-2, or similar tools that report raw scores, standard scores, percentile ranks, and age equivalents. It is not a general developmental history form or a full occupational therapy evaluation. Use it when you need a structured record of how the test was administered and how the results were interpreted.

Complete it at the time of the assessment or immediately after the testing session while details are still fresh. It is especially useful when results may be used for referral decisions, school or therapy planning, or documentation for a referring provider. If the child was not able to complete standardized testing, the template can still capture the reason and any deviations.

A qualified clinician or assessor who is trained to administer the chosen standardized motor test should complete it. That may include pediatric occupational therapists, physical therapists, developmental specialists, or other licensed professionals working within their scope and the test manual. The sign-off should reflect the person responsible for the assessment record.

No. The template supports documentation, but it does not replace the administration rules in the test manual. You still need to follow the published instructions for start points, basal and ceiling rules, scoring, and allowable accommodations. If the manual and the template conflict, the manual governs.

Reassessment timing depends on the referral question, the child’s age, and the clinical plan. In practice, it is often repeated after a therapy block, after a meaningful developmental interval, or when there is a change in function or concern. The template helps document the reason for re-evaluation so the cadence is clear.

Common misses include leaving out the child’s age at testing, failing to note accommodations, and recording scores without explaining whether the administration stayed standardized. Another frequent issue is documenting age equivalents without the raw scores or standard scores that support them. This template keeps the record complete enough for review and follow-up.

Yes. You can tailor the assessment name, add local referral pathways, and adjust the follow-up language for school-based services, outpatient therapy, or early intervention. The core structure should stay the same so the record still shows testing conditions, fidelity, scoring, and clinical interpretation.

It can be used as a standalone inspection form or mapped into an EHR note, assessment template, or quality review workflow. Many teams use it to standardize what gets captured before the final report is signed. If your system supports structured fields, the raw scores, standard scores, and recommendations are good candidates for discrete entry.

Document the condition clearly, including what affected participation and which sections were incomplete or invalid. Note any modifications, whether the results are partial, and whether a repeat assessment is needed. Do not present non-standard results as fully comparable to normative scores if the administration was compromised.