A simple and quick method to assess development of children brought for routine interventions is needed in a busy office practice. With this objective, this “new development assessment chart incorporated immunization card” has been designed. The routine immunization visits should be utilized as an opportunity for the developmental assessment of children and documentation, by using this card. It is a very simple and user- friendly card and takes only 5 minutes to complete the assessment. It can be translated in to regional languages and hence mothers can also use it. It is anticipated that if all doctors use this card leading to early detection of neurodevelopmental disorders achieving 50% reduction in an year, from the present morbidity. With early detection, early intervention possible at District Early Intervention centres, free of cost.