Referral Questionaire

In addition to the Child Find Questionnaire listed below, an Ages and Stages Questionnaire needs to be completed with every Child Find referral. These Ages and Stages Questionnaires are not available online but can be picked up at our office located at 410 Hill Avenue. Ages and Stages Questionnaires are age sensitive, please calculate the child's age at the time of the Child Find referral. Ages and Stages Questionnaires need to be completed by parents or caregivers.

  • Child Find Referral for Strive
  • English three to non school age five Child Find Questionnaire
  • Spanish three to non school age five Child Find Questionnaire
  • Supplemental Information Form. This form is to be completed by others (childcare providers, preschool teachers, relatives) who associate with your child on a routine basis.
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