D25 Early Childhood Screening Request

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The purpose of D25 early childhood screening is to identify children who may have developmental delays requiring support during preschool.

The first step in the process is to complete this screening request. Next, we will email you input forms. You must submit the input forms along with any supporting documentation (preschool input, private evaluations) so that the D25 diagnostic team can review all documentation to determine the next steps in the process.

All D25 elementary schools offer Kindergarten Screenings in May to assess kindergarten readiness skills.

Email *

Child's First Name *

Child's Last Name *

Child's Date of Birth *

YYYY

Parent/Guardian First & Last Name *

Address: *

Phone # *

What are your concerns about your child's development? *

A copy of your responses will be emailed to the address you provided.

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