NGO & Disability School for Mentaly Retarted, Handicapped and Disabled Children with Residential Facilities ngo's in india, disability school, special schools india
Residential Schools in India Handicapped Schools in India Disability Schools India Special Schools India Ngo's In India
NGO for Children with Cerebral Palsy, ADHD, Autistic, Aspergers, Mentally Retarted, MR, Down Syndrome


ASTALAVISTA TECHNOLOGIES in association with MIRACLES HOME AND RESEARCH TRUST is a NON-PROFIT secular organization, with RESIDENTIAL FACILITIES, Fully Equipped with the Pre school and School Session, providing Education to all kinds of CHILDREN and ADULTS with Behavior Problems and Multiple Disabilities like Autism, Slow Learners, Aspergers Syndrome, ADHD, Mental Retardation, Down Syndrome, Cerebral Palsy, Hearing, Speech and Visual Impairment, etc.

Name of Student:


Date of Birth:


IQ Level/Class:




Languages Spoken:


Childhood History:


Immunization History:


Developmental Milestone:


General Behavior:


What keeps your child, calm and happy (please specify like gifts, chocolates, etc.):


Are there any particular times of the day when the problems / behavior is more likely to occur:


Does the problem occurs in the presence of particular person, if yes please provide details:


Was the child asked to do something or was the child refused something prior to the problem, if yes please specify:


How many times a day or how long does the problem occur with your child:


What do you or others generally do, immediately following the problem:


Which person in your house or outside the house are most affected by the problem:


How do you comfort your child at the time of the problem:


Please provide us with the medical history / disorders, etc. of the child:


Medication History (allopathic / homeopathic medicine in the past / current prescribed by a physician & name of physician/doctor):


Hobbies / Sports / Games / Likes and Dislikes, etc.:


Past time Behavior / Leisure Activities, etc.:


Problems in Speech / Physical Movements, etc.:


Nature, Name and Full Address of the School (Special / Integrated / Normal, Dates, Class till, etc.) :


School History & Date of Joining (if any) :


Attendance in School (details):


Interaction with People, Friends, Neighbors, Relatives at Social Gatherings, etc. (if any) :


Interaction with Strangers, etc. (if any) :


Major Emotional & Behavioral Problem:


Type of Family (joint/nuclear & number of persons):


What kind of Help/Support/Guidance are you looking for from us
(in brief, like want them to be independent, basic education via national open school, etc.):


Anything you would like to inform us about, (about his toilet training, about his fooding habits, other remarks etc):


Is your Child Toilet Trained?:

                    Yes      No

Have you heard about Treatment with NUMEROLOGY ?:

                    Yes      No

Interested to know how NUMEROLOGY can help your child ?:

                     Yes      No

How did you get to know us:


Fathers Name:


Mothers Name:


Full Residential/Postal Address:








Telephone ( & city code):


Mobile ( & city code):


Facsimile ( & city code):






Early Intervention | Special Education | Speech Therapy | Physiotherapy | Computer Therapy | Pet Therapy
Vocational Therapy | Occupational Therapy | Yoga & Meditation | Play & Recreation | What's New?


The School | Rules & Regulations | Students Corner | Photo GalleryMother Teresa : A Tribute
Behaviour Management Form | Counseling Form | Admission FormAssociate with us | Commendations


About Us | Activities | Aim & Objectives | Future Plans | Sponsors | Product RangeSponsor A Child
Home | Team | Careers | FAQ's | Links | Disability Study | Location Plan | Contact | Query


Airtel: +(91)-98310 78600, 98310 28888 Vodafone: +(91)-98300 28888, 98308 88888
Reliance: +(91)-93390 52222, 93300 28888 Aircel: +(91)-98043 34567