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   Pediatric Development Screening

These questionnaires are designed to screen young children, ages four months to five years old, for developmental delays. The purpose is to identify those children who are in need of further evaluation while also reassuring parents whose children are developing typically. This system represents a novel approach to screening because the questionnaires are designed to be completed by the parents or caregivers of young children, who spend the most significant amount of time with them and can accurately note their behavioral patterns.

These are designed to be used only in conjunction with an office visit and exclusively for the use of NCFMG patients. Please make every effort to complete these questionnaires prior to your visit so your provider can review your results. Each form here is password protected so please contact NCFMG to get your password.

Adobe Acrobat is required to print these forms. To get acrobat, click here.

If you have a slow internet connection it is recomended that you right click on the link, choose 'save target as' and then open from the location you saved the document on your computer.




Copyright 2010. North Coast Family Medical Group. Last updated February 2010