Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental...

27
Veronica Roman Projected Evaluations Life Care Plan Item / Service Age Year Purpose Cost Recommended By Comment Frequency/ Replacement DOB: Apr 16, 2000 Jul 25, 2000 Sep 27, 2002 Developmental Delay, Visually Impaired, Hearing Impaired D/A: Primary Disability: Date Prepared: Paul M. Deutsch & Associates, P.A. 1750 West Broadway Street, Suite 106 Oviedo, FL 32765 (407) 977-3223 Fax (407) 977-0311 Rehabilitation / Long-Term Needs Assessment Assess Handicapping Conditions Per Year Paul M. Deutsch, Ph.D., C.R.C. CCM. CLCP. Licensed Mental Health Counselor (Licensed under Chapter 491 Psychology Practices Act.) Ending One time already accomplished during evaluation on 7/17/02; follow-up $4,500 - $5,000 excluding expenses. Beginning Per Unit 4 X over course of developmental years. One time already accomplished, with repeat evals at age 5, 15 and 21. 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch, Ph.D., C.R.C. CCM. CLCP. Licensed Mental Health Counselor (Licensed under Chapter 491 Psychology Practices Act.) Ending Beginning Per Unit 1 X / 3-4 Years to age 21 to monitor development and make educational recommendations 2 2 2002 21 2021 Physical Therapy Evaluate ongoing therapy needs $170 - $340 Per Year Paul M. Deutsch, Ph.D., CRC, CCM, CLCP based on a review of available medical information and client interview Ending Veronica is currently in an early intervention program, and after age 3, she should be covered by the public school system for one evaluation per year, at no cost to the parents, through age 21. Beginning Per Unit 2 X / Year 3 2 2002 Life Exp. Speech Therapy Monitor therapy program and communication needs. $170 - $340 Per Year Paul M. Deutsch, Ph.D., CRC, CCM, CLCP based on a review of available medical information and client interview Ending Veronica is currently in an early intervention program, and after age 3, she should be covered by the public school system for one evaluation per year, at no cost to the parents, through age 21. Beginning Per Unit 2 X / Year, one time conducted by school system at no charge to parents. 4 2 2002 21 2021 Occupational Therapy / Assistive Technology Monitor therapy needs for upper extremities and evaluate adaptive equipment needs. $170 - $340 Per Year Paul M. Deutsch, Ph.D., CRC, CCM, CLCP based on a review of available medical information and client interview Ending Veronica is currently in an early intervention program, and after age 3, she should be covered by the public school system for one evaluation per year, at no cost to the parents, through age 21. Beginning Per Unit 2 X / Year to age 21; then 1 X / 2-3 years to assess equipment needs. 5 2 2002 65 2065 Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 1

Transcript of Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental...

Page 1: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanProjected Evaluations

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Rehabilitation /Long-Term NeedsAssessment

Assess HandicappingConditions

Per Year

Paul M. Deutsch, Ph.D.,C.R.C. CCM. CLCP.Licensed Mental HealthCounselor (Licensedunder Chapter 491Psychology PracticesAct.)

Ending

One time already accomplished duringevaluation on 7/17/02; follow-up $4,500- $5,000 excluding expenses.

Beginning Per Unit4 X over course ofdevelopmental years.One time alreadyaccomplished, withrepeat evals at age 5,15 and 21.

1

2 7/17/02

21 2021

DevelopmentalPsychology Evaluation

Assess development$375 - $405

Per Year

Paul M. Deutsch, Ph.D.,C.R.C. CCM. CLCP.Licensed Mental HealthCounselor (Licensedunder Chapter 491Psychology PracticesAct.)

Ending

Beginning Per Unit1 X / 3-4 Years toage 21 to monitordevelopment andmake educationalrecommendations

2

2 2002

21 2021

Physical Therapy Evaluate ongoing therapyneeds $170 - $340

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Veronica is currently in an earlyintervention program, and after age 3,she should be covered by the publicschool system for one evaluation peryear, at no cost to the parents, throughage 21.

Beginning Per Unit2 X / Year

3

2 2002

Life Exp.

Speech Therapy Monitor therapy programand communicationneeds.

$170 - $340

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Veronica is currently in an earlyintervention program, and after age 3,she should be covered by the publicschool system for one evaluation peryear, at no cost to the parents, throughage 21.

Beginning Per Unit2 X / Year, onetime conductedby school systemat no charge toparents.

4

2 2002

21 2021

Occupational Therapy /Assistive Technology

Monitor therapy needs forupper extremities andevaluate adaptiveequipment needs.

$170 - $340

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Veronica is currently in an earlyintervention program, and after age 3,she should be covered by the publicschool system for one evaluation peryear, at no cost to the parents, throughage 21.

Beginning Per Unit2 X / Year to age21; then 1 X / 2-3years to assessequipment needs.

5

2 2002

65 2065

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 1

Page 2: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanProjected Evaluations

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

AugmentativeCommunicationEvaluation

Assess communicationneeds $233 - $466

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit1 X / 3-4 Years

6

4 2004

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 2

Page 3: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanProjected Therapeutic Modalities

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Developmental /Behavioral Counseling

Aid in development andaddress behavioralissues.

$110 - $125

Per Year

Paul M. Deutsch, Ph.D.,C.R.C. CCM. CLCP.Licensed Mental HealthCounselor (Licensedunder Chapter 491Psychology PracticesAct.)

Ending

$1,175 - $1,528 / year through age 21;then $705 - $940 / year thereafter.

Beginning Per Unit10 - 13 sessions /year throughdevelopmental years;then 6 - 8 sessions /year for crisisinterventionthereafter.

7

2 2002

Life Exp.

Family Counseling &Education

Aid in disabilitymanagement $110 - $125

Per Year

Paul M. Deutsch, Ph.D.,C.R.C. CCM. CLCP.Licensed Mental HealthCounselor (Licensedunder Chapter 491Psychology PracticesAct.)

Ending

$1,320 - $1,500 now; then $660 - $750at ages 4, 6, 8,10, 12, 14, 16, 18, 20and 21.

Beginning Per Unit2 X / month for 6months now; then2 X / month for 3months at ages 4,6, 8, 10, 12, 14,16, 18, 20 and 21.

8

2 2002

21 2021

Speech Therapy Address language andcommunicationacquisition

$168 - $232

$8064 - $11136Per Year

Paul M. Deutsch, Ph.D.,CRC, CCM, CLCP, A.J. Nicholas, M.D., Dr.Farmer, ENT andJamie Noor, M.D.

Ending

Beginning Per Unit1 X / week nowand tosupplement anytherapy offeredthrough theschool systemafter age 3. 9

2 2002

21 2021

Auditory/Verbal Training Train with CochlearImplant $70

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, Dr. Farmer,ENT and A. J.Nicholas, M.D.

Ending

$3,360 / year for 3 years; then $1,680/year through age 21.

Beginning Per Unit1 X / week for 3years (48 weeks /year); then 2 X /month throughage 21.

10

2 2002

21 2021

Physical Therapy Build strength andprevent contractures. $168 - $232

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, Jamie Noor,M.D. and A J.Nicholas, M.D.

Ending

$9,600 - $19,200 / year to age 6; then$8,064 - $11,136 to age 21. Thereafter$800 - $1,200 / year. After age 3, thisrecommendation will be therapy inaddition to any therapy offered throughthe school system.

Beginning Per Unit1-2 X / week toage 6; then 1 X /week to age 21.Thereafter, 4-6 X/ year to traincaregivers inhome program. 11

2 2002

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 3

Page 4: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanProjected Therapeutic Modalities

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Occupational Therapy Provide training inactivities of daily livingand with assistivetechnology.

$168 - $232

$9600 - $19200Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, Jamie Noor,M.D. and A. J.Nicholas M.D.

Ending

$9,600 - $19,200 / year to age 6; then$8,064 - $11,136 / year to age 21. Afterage 3, this recommendation will betherapy in addition to any therapyoffered through the school system.

Beginning Per Unit1-2 X / week toage 6; then 1 X /week to age 21.Thereafterincluded inevaluations every2-3 years. 12

2 2002

21 2002

AugmentativeCommunication Training

Train her to useaugmentativecommunication

$232

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP and A. J.Nicholas, M.D.Ending

$2,320 initially, followed by $1,392every 4-6 years. She will only needtraining with this equipment if she isfound to be an appropriate candidatefor augmentative communication.

Beginning Per Unit10 sessionsinitially; followedby 6 sessionsevery 4-6 yearswith newequipment.

13

4 2004

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 4

Page 5: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanDiagnostic/Educational Testing

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Educational Testing Monitor educationaldevelopment for specialeducation needs and toassist therapist andteachers with learningstrategies.

$500 - $700

$500 - $700Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit1 X / Year

14

3 2003

21 2021

Special EducationProgram

Educational andtherapeutic program $0 - $0

$0 - $0Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

No cost associated with specialeducation services.

Beginning Per UnitRegular schoolyear

15

3 2003

21 2021

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 5

Page 6: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanWheelchair Needs

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Pediatric Seating Systemwith Stroller Base andHi-Low Base

Mobility

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Already purchased for $4,200. To bereplaced by custom manual wheelchair.

Beginning Per Unit1 X Only

16

1 2001

1 2001

Custom ManualWheelchair with SeatingSystem

Mobility$5000 - $5200

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Estimated unit cost includes seatingsystem and lap tray.

Beginning Per Unit1 X / 3-5 years to age12, then 1 X / 5-7years thereafter asmanual wheelchairbecomes a back-upto power chair.

17

5 2005

Life Exp.

Shower/CommodeWheelchair

Aid in bathing

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

$700 - $850 for Pediatric Chair; then$1,185 - $1,350 every 4 - 6 yearsbeginning at age 11.

Beginning Per Unit1 X / 2 Years toage 11; then 1 X /4 - 6 yearsthereafter

18

5 2005

Life Exp.

Power Wheelchair withCustom Seating Systemand Attendant Control

Mobility, properpositioning and ease intransporting Veronica.

$10000 - $12000

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit1 X / 4-6 Years

19

12 2012

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 6

Page 7: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanWheelchair Accessories and Maintenance

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

MAINTENANCE:Pediatric Seating System

Maintain equipment

$100 - $200Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit1 X / Year

20

2 2002

5 2005

Manual Wheelchair Maintain Equipment

$200 - $350Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Maintenance to begin 1 year afterpurchase of new equipment.

Beginning Per Unit1 X / Year

21

6 2006

Life Exp.

Shower Wheelchair Maintain equipment

$110 - $130Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Maintenance to begin 1 year afterpurchase of new equipment.

Beginning Per Unit1 X / Year

22

6 2006

Life Exp.

Power Wheelchair Maintain equipment

$300 - $400Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Maintenance to begin 1 year afterpurchase of new equipment.

Beginning Per Unit1 X / Year

23

13 2013

Life Exp.

ACCESSORIES:Wheelchair CarryingPocket

Convenience in carryingpersonal items $35 - $45

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit1 X / 1-2 Years

24

4 2004

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 7

Page 8: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanWheelchair Accessories and Maintenance

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Wheelchair Cushions Prevention of decubitusulcers $375 - $450

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit1 X / 1-2 Years

25

4 2004

Life Exp.

Cushion Cover Protect cushion$35 - $40

$35 - $40Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit1 X / Year

26

4 2004

Life Exp.

Portable WheelchairRamps

Accessibility$425 - $440

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Only recommended post age 21 if HomeCare Option chosen.

Beginning Per Unit1 X / 10 Years

27

4 2004

Life Exp.

Wheelchair Lap Tray forPower Wheelchair

Activity area$120 - $195

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Included in manual wheelchairpackage.

Beginning Per Unit1 X / 2-3 Years

28

12 2012

Life Exp.

Power WheelchairBatteries

Power chair$120 - $135

$120 - $135Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit1 X / Year

29

12 2012

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 8

Page 9: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanOrthotics/Prosthetics

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Bilateral Ankle FootOrthoses

Maintain foot position$800

Per Year

A. J. Nicholas, M.D.

Ending

Actual purchase date and price.Beginning Per Unit1 X / 1-2 Years toage 18; then 1 X /2 - 3 yearsthereafter

30

1 9/2001

Life Exp.

Wrist Hand Orthosis Prevent contractures$250 - $300

Per Year

A. J. Nicholas, M.D.

Ending

Beginning Per Unit1 X / 1-2 Years

31

2 2002

Life Exp.

Scoliosis Brace Prevent progression ofscoliosis $800 - $1000

Per Year

A. J. Nicholas, M.D.

Ending

Beginning Per Unit1 X / 2-3 Yearsuntil age 18; then1 X / 4-6 yearsthereafter.

32

2 2002

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 9

Page 10: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanOrthopedic Equipment

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Space-Saver MatPlatform

Therapeutic exercise$1050 - $1300

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Only recommended post age 21 if HomeCare Option chosen.

Beginning Per Unit1 X / 10 Years

33

2 2002

Life Exp.

Therapy Mat for Platform Exercise mat$225 - $350

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Only recommended post age 21 if HomeCare Option chosen.

Beginning Per Unit1 X / 3-4 Years

34

2 2002

Life Exp.

Supine Stander Aids in muscle tone andskeletal development $1900

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Actual purchase date and price.Beginning Per Unit1 X Only

35

1 2001

1 2001

Standing Frame Aids in muscle tone andskeletal development $2300 - $2500

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit1 X at age 5; 1 Xreplacement at age10 (adolescent size);thereafter replace 1 X/ 10 years

36

5 2005

Life Exp.

Maintenance forStanders

Maintain Equipment

$75 - $125Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Maintenance on equipment begins oneyear after each new item is purchased.

Beginning Per Unit1 X / Year

37

2 2002

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 10

Page 11: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanOrthopedic Equipment

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Therapy Balls Sensory motordevelopment $35 - $65

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit1 X / 2-3 Years

38

2 2002

18 2018

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 11

Page 12: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanHome Furnishings and Accessories

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Rifton Bath Chair Aid in bathing$625

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit1 X Only

39

2 2002

2 2002

Hand Held Shower Aid in bathing$55 - $85

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Only recommended post age 21 if HomeCare Option chosen.

Beginning Per Unit1 X / 3-4 Years

40

2 2002

Life Exp.

Baby Monitor Safety aid$33 - $43

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Only recommended post age 21 if HomeCare Option chosen.

Beginning Per Unit1 X / 2-3 Years

41

2 2002

Life Exp.

Tumble Form Feeder Seatwith Floor Sitter Wedge

Positioning and support

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit

NOTE: Medium now at $325; Large at age 8 at $385; and X-Large at age 16 at $750. Replacement schedules are dependent upon Veronica’s rate of physicaldevelopment.

1 X Only for eachsize: medium,large, and X-large

42

2 2002

16 2016

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 12

Page 13: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanHome Furnishings and Accessories

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Power Hospital Bed withSide Rails and Mattress

Positioning and safety aid$3800 - $4000

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Only recommended post age 21 if HomeCare Option chosen.

Beginning Per Unit1 X / 10 Years

43

4 2004

Life Exp.

Hoyer Lift Lift aid$1150 - $1250

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Only recommended post age 21 if HomeCare Option chosen.

Beginning Per Unit1 X / 10 Years

44

10 2010

Life Exp.

Maintenance of Lift andReplacement Sling

Maintenance/replacement sling $90 - $100

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Only recommended post age 21 if HomeCare Option chosen.

Beginning Per Unit1 X / 2-3 Years

45

12 2012

Life Exp.

Patient Lift TrackingSystem

Transport patient fromone room to another $3000 - $4000

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

This equipment is not duplicative of the HoyerPatient Lift, as it is designed to move the patientfrom one area of the home to another via anoverhead tracking system. The price isestimated as the actual cost will depend on thesize of the home and the patient’s needs.

Beginning Per Unit1 X / 10 Years

46

10 2010

Life Exp.

Maintenance of LiftTracking System

Maintain equipment$200 - $250

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit1 X / 2 Years

47

12 2012

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 13

Page 14: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanAids for Independent Function

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Personal FM System Personal hearing systemthat offers FMamplification.

$2149 - $2400

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

This system supplements theperformance of Cochlear implants.

Beginning Per Unit1 X / 4-6 Years

48

2 2002

Life Exp.

Adaptive Switches Operate equipment ortoys with alternativeswitches adapted to meether needs.

$100 - $150

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit1 X / 1-2 Years

49

2 2002

Life Exp.

Adaptive Clothing Ease in caring forVeronica

$580Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Adapted from Veteran's Administrationguidelines.

Beginning Per UnitAnnual allowance

50

2 2002

Life Exp.

AugmentativeCommunication Device

Assist her with verbalcommunication, shouldshe be deemed acandidate.

$2000 - $2500

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

The unit cost should cover the cost of arelatively simple communicationdevice.

Beginning Per Unit1 X / 4-6 Years

51

4 2004

Life Exp.

Maintenance ofAugmentativeCommunication Device

Maintain equipment

$150 - $200Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Maintenance on equipment begins oneyear after each new item is purchased.

Beginning Per Unit1 X / Year

52

5 2005

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 14

Page 15: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanSupplies

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Cochlear ImplantSupplies

Maintain implant$6000

Per Year

Dr. Regina White,CommunicationDisorder Specialistand Dr. Farmer, ENTEnding

The supplies used with the implantdevice consists of AA batteries, thewires from the unit to the microphone;coil to the microphone; magnets 2;microphone.

Beginning Per Unit1 X / 3-5 Years

53

2 2002

Life Exp.

Diapers(Stage 6)(Up to 50 pounds)

Bowel and Bladder care

$1931 - $2896Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per UnitAnnual allowancebased on 2 to 3packages / week

54

2 2002

4 2004

Youth Size Diapers(50 to 75 pounds)

Bowel and Bladder Care

$3045 - $3200Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per UnitEstimate 4 cases/ month (96 /case)

55

4 2004

8 2008

Adult Diapers(Over 75 pounds.Estimate age 13)

Bowel and Bladder care

$2289 - $2397Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per UnitEstimate 3 cases/ month (96 /case)

56

8 2008

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 15

Page 16: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanMedications

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Prescription Medications As prescribed$93.98

$1128Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Baclofen - $24.99; Reglan - $68.99Beginning Per UnitAnnual allowance

57

2 2002

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 16

Page 17: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanHome Care / Facility Care

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

PRE-AGE 21:Developmental Day Care

Day care and after schoolcare program for childrenwith special needs, inorder to allow her motherto work.

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Monday through Friday for 50 weeks / year toage 3, at a total cost of $4,920 for 12 months.Once age 3, then before and after school carefor 9 months / year at a total cost of $1,170 /year and 3 months of day care at a total cost of$1,230.

Beginning Per Unit

NOTE: This recommendation is based on the fact that Veronica is actually participating in the program at the Avalanche Developmental Group.

See commentsection forschedule.

58

2 2002

21 2021

Respite Care Prevent parental burnout.

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

$3,328 - $3,744 / year for weeknight($16-$18/hour)and $12,096 - $16,416 forweekend ($28-$38/hour) care. Total $15,424 -$20,160 / year. LPN level of care required forweekend respite so that medications can beadministered in the absence of the parents.

Beginning Per UnitOne night perweek for 4 hoursand one weekendper month for 36hours. (640hours / year)

59

2 2002

21 2021

Case Management Assist parents incoordinating services $75

$1800 - $3600Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit2 - 4 hours /month

60

2 2002

21 2021

POST-AGE 21:Option ILive-In Attendant

Provide care andsupervision $200 - $306

$73000 - $111690Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

The use of a Live-In assumes thatVeronica is able to take her ownmedication with only cueing from anattendant.

Beginning Per Unit10 hours of directcare andavailable 8 hoursat night foremergencies.

61

21 2021

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 17

Page 18: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanHome Care / Facility Care

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Additional HouseholdCost for Live-in

Additional cost for utilitiesand food

$3200 - $3500Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per UnitAnnual allowance

62

21 2021

Life Exp.

Supplemental AttendantCare

Provide care when live-inis unavailable $16 - $18

$35040 - $39420Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit2,190 hours /year

63

21 2021

Life Exp.

Interior/Exterior HomeMaintenance

Maintain home and yard$65 - $85

$3380 - $4420Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per UnitRegular weeklyservice

64

21 2021

Life Exp.

House Cleaning Heavier house cleaning$50 - $75

$2600 - $3900Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per UnitRegular weeklyservice

65

21 2021

Life Exp.

Case Management Assist in coordinatingservices and offersupport.

$75

$1800 - $3600Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit2 - 4 hours /month

66

21 2021

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 18

Page 19: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanHome Care / Facility Care

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Day Program / ShelteredWork

Avocational activity$18 - $21

$3456 - $4032Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Attendant will need to accompany herto program.

Beginning Per Unit4 days / week, 48weeks / year (192days / year)

67

21 2021

65 2065

POST-AGE 21:Option IILong Term Living Facility

Provide full-timesupervision $208 - $390

$75920 - $142350Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit24 hoursupervision

68

21 2021

Life Exp.

Case Management Assist in coordinatingservices and offersupport.

$75

$1800 - $3600Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit2 - 4 hours /month

69

21 2021

Life Exp.

Skilled Nursing Visit Setup medication$55 - $95

$2860 - $4940Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit1 X / week

70

21 2021

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 19

Page 20: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanFuture Medical Care Routine

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

General Medical(Pediatrician/Internist)

Routine assessment$40 - $120

Per Year

Jamie Noor, M.D.and A. J. Nicholas,M.D.

Ending

$120 - $360 / year to age 18; then $40 -$120 / year thereafter. This is inaddition to the 1 X / year everyoneshould be seen.

Beginning Per Unit3 X / year to age18; then 1 X /year thereafter.

71

2 2002

Life Exp.

Physiatrist Monitor rehabilitation$65 - $150

Per Year

Jamie Noor, M.D.and A. J. Nicholas,M.D.

Ending

$215 - $323 / year to age 6; then $130 -$300 / year to age 12; thereafter $108 -$215 / year.

Beginning Per Unit2-3 X / year toage 6; then 2 X /year from ages 6to 12; thereafter1-2 X / year

72

2 2002

Life Exp.

Neurosurgeon Monitor VP shunt$60 - $120

$90 - $180Per Year

N. Andrews, M.D.and Jamie Noor,M.D.

Ending

Beginning Per Unit1-2 X / Year

73

2 2002

Life Exp.

Otolaryngologist Monitor CochlearImplants and hearingimpairment

$52 - $85

Per Year

Dr. Farmer, ENT,Jamie Noor, M.D.and A. J. Nicholas,M.D.Ending

$208 - $340 / year to age 18; then $104- $170 / year thereafter.

Beginning Per Unit4 X / year to age18; then 2 X /year to life

74

2 2002

Life Exp.

Audiologist /Communication DisorderSpecialist

Mapping of implant andaudiological testing toinclude Tympanometry,Audiogram, and AuralRehab

$182 - $282

Per Year

Dr. Regina White,CommunicationDisorder Specialistand Dr. Farmer, ENTEnding

$1,092 - $1,692 for 6 months; then$1,092 - $1,692 for 12 months; then$728 - $1,128 / year until replacementof implant. Process starts over, onetime every 10 years with new implant.

Beginning Per Unit1 X / month for 6months; 1 X / 2months for 12months; then 4 X/ year thereafter

75

2 2002

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 20

Page 21: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanFuture Medical Care Routine

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Orthopedist Monitor for orthopediccomplications $44 - $125

Per Year

A. J. Nicholas, M.D.and Jamie Noor,M.D.

Ending

$88 - $250 / year to age 18; then $44 -$125 / year thereafter.

Beginning Per Unit2 X / Year to age18; then 1 X /year thereafter.

76

2 2002

Life Exp.

Ophthalmologist Monitor vision$113 - $125

$226 - $250Per Year

Jamie Noor, M.D.

Ending

Beginning Per Unit2 X / Year

77

2 2002

18 2018

Dentist Oral hygiene care$46 - $109

$92 - $218Per Year

A. J. Nicholas, M.D.and Jamie Noor,M.D.

Ending

This is in addition to the 2 times peryear everyone should be seen by adentist, due to her compromised abilityto care for her teeth.

Beginning Per Unit2 X / Year

78

2 2002

Life Exp.

Neurologist Monitor neurologicalfunction $80 - $130

Per Year

Jamie Noor, M.D.

Ending

$320 - $520 / year to age 18; then $105- $210 / year thereafter.

Beginning Per Unit4 X / year to age18; then 1-2 X /year thereafter.

79

2 2002

Life Exp.

Urologist Monitor urologicalfunctioning secondary toreduced mobility

$65 - $105

$65 - $105Per Year

A.J. Nicholas, M.D.and Jamie Noor,M.D.

Ending

Beginning Per Unit1 X / Year

80

2 2002

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 21

Page 22: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanFuture Medical Care Routine

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Diagnostic X-rays Monitor bonedevelopment andcomplications

$600 - $1200Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Elbows, shoulders, ankles, hands,knees, etc. (Estimated pendingevaluation by Orthopedist.)

Beginning Per UnitAnnual allowance

81

2 2002

Life Exp.

Pathology Lab Studies Monitor condition

$380 - $760Per Year

A.J. Nicholas, M.D.and Jamie Noor,M.D.

Ending

Liver Functions - $37.50, CBC - $53,Comp Metabolic Panel - $49.50;Urinalysis - $35; Draw fee - $15

Beginning Per Unit2 - 4 X / Year

82

2 2002

Life Exp.

Shunt Series Monitor shunt$343 - $547

Per Year

N. Andrews M.D.

Ending

Beginning Per Unit1 X / 4-5 Years

83

2 2002

Life Exp.

CT Scan Head Monitor hydrocephalous$1198 - $1200

Per Year

N . Andrews M.D.and Jamie Noor,M.D.

Ending

Beginning Per Unit1 X / 2-4 Years

84

2 2002

Life Exp.

MRI Monitor functioning$1800 - $2400

Per Year

Jamie Noor, M.D.

Ending

Beginning Per Unit1 X / Year

85

2 2002

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 22

Page 23: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanFuture Medical Care Aggressive Treatment

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Hip Subluxation Surgery To treat hip dysplasia$14178 - $14820

Per Year

A.J. Nicholas, M.D.

Ending

Unit cost is for one hip. Dr. Nicholasnotes this as a possible future surgicalrequirement. Begin date and frequencyare estimated.

Beginning Per Unit1 X Only for eachhip. (Estimate)

86

4 2004

4 2004

Heel Cord TendonLengthening

Surgical treatment forfoot deformity $12523 - $13652

Per Year

A.J. Nicholas, M.D.and Jamie Noor,M.D.

Ending

Dr. Nicholas & Dr. Noor notes this as apossible future surgical requirement.Begin date and frequency areestimated.

Beginning Per Unit1 X Only for eachfoot (Estimate)

87

5 2005

5 2005

Baclofen Pump Treatment for generalizeddystonia $29681 - $32023

Per Year

A. J. Nicholas, M.D.

Ending

The unit cost includes trial, surgicalimplantation, equipment and hospital charges.Maintenance, Programming and Refills areestimated to be $12,108 - $18,162 per year.(Begin date is estimated, pending determinationby treating physician.)

Beginning Per Unit1 X / 4-6 Years

88

6 2006

Life Exp.

Scoliosis Surgery Stabilize spine curvature.$56654 - $60302

Per Year

A.J. Nicholas, M.D.

Ending

Dr. Nicholas notes this as a possiblefuture surgical requirement. Begin dateand frequency are estimated.

Beginning Per Unit1 X Only(Estimate)

89

10 2010

10 2010

VP Shunt Revisions Revise shunt$31334 - $32006

Per Year

N. Andrews M.D.

Ending

Frequency is estimated. Dr. Andrewsnotes that it is difficult to predict a needfor revisions. Revisions can berequired up to one time per month orshe may never need a revision. Hefeels if all goes well, once in her teenyears should be sufficient.

Beginning Per Unit1 time in teenyears (Best CaseScenario)

90

15 2015

15 2015

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 23

Page 24: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanFuture Medical Care Aggressive Treatment

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Replace Cochlear Implant Hearing implant$49955 - $50055

Per Year

Dr. Farmer, ENT

Ending

Beginning Per Unit1 X / 10 Years

91

17 2017

Life Exp.

Contracture Release Surgically releasecontractures to improvepositioning ability

$10005 - $10963

Per Year

A. J. Nicholas, M.D.

Ending

For Information Purposes: Dr. Nicholasnotes this as a possible future surgicalrequirement. Due to the variable natureof contractures and the differentlocations in the body they can occur,there is no way to estimate futureneeds at this time.

Beginning Per UnitTo be determined

92

Unknown

Unknown

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 24

Page 25: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanTransportation

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Adapted Van withWheelchair Lift and TieDown

Transportation$48500 - $50500

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Only recommended post age 21 if HomeCare Option chosen.

Beginning Per Unit

NOTE: Trade-in value to be determined by economist. For information purposes, the average cost of a typical family car in the U.S. is $25,800 (2001 dollars).This should be subtracted from the price of the van.

1 X / 5-7 Years

93

2 2002

Life Exp.

Adaptive AccessoriesMaintenance

Maintain Equipment

$300 - $400Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Maintenance on equipment begins oneyear after each new item is purchased.Only recommended post age 21 if HomeCare Option chosen.

Beginning Per Unit1 X / Year

94

3 2003

Life Exp.

American AutomobileAssociation Membership

Emergency roadsideassistance.

$56 - $78Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Only recommended post age 21 if HomeCare Option chosen.

Beginning Per UnitAnnual cost

95

2 2002

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 25

Page 26: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanArchitectural Renovation(s)

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

ArchitecturalRenovations

Accessibility

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per Unit

Architectural renovations to be accomplished two times only. To include: ramping, lighting, floor covering, hallways, doorways, bathroom modifications, and othersafety issues. One time now and one time at age 21 if Home Program is chosen. It is anticipated $25,000 - $30,000 would be required to renovate an existingstructure. An additional $15,000 - $20,000 would be required to add to the cost of building a new, barrier free design.

2 X Only (1 X byage 6; 1 X at age21 if home careoption is chosen)

96

6 2006

21 2021

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 26

Page 27: Paul M. Deutsch & Associates, P.A. Life Care Plan DOB: D/A ... · 1 2 7/17/02 21 2021 Developmental Psychology Evaluation Assess development $375 - $405 Per Year Paul M. Deutsch,

Veronica RomanLeisure Time/Recreational

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Apr 16, 2000Jul 25, 2000Sep 27, 2002Developmental Delay,Visually Impaired,Hearing Impaired

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.1750 West Broadway Street, Suite 106Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Adaptive Toys Toys adapted for childrenwith special needs.

$50 - $100Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Beginning Per UnitAnnual allowance

97

2 2002

16 2016

Attendant Allowance Money to allow attendantto accompany Veronicato leisure activities.

$300 - $400Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP based on areview of availablemedical informationand client interview

Ending

Only recommended with Option I, homecare, post-age 21.

Beginning Per UnitAnnual allowance

98

21 2021

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 27