ALBERTA INFANT
MOTOR SCALE
Record Booklet :
Yeor Month Day
Nome ___________ pote or assessment [_7/
Identifcotion Number Date of Bith
Sxaminer____ Chronological Age
Place of Assessment Conected Age
Previousitems | terms Credited subscale
Credited in Window Score
Prone
supine
sit
Stand
Totatscore [__] te
Pome e rere cece escenerecscsccee
Comments/RecommendationsAlberta Infant Motor Scale
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