BWRSD Child Outreach Screening Request Form
It is the goal of the Bristol Warren Regional School District and the RI Department of Education to screen 100% of children ages 3-5 annually. 

Our free Child Outreach screenings provide families with an up-to-date check on their child's speech and language skills, social-emotional development, vision, hearing, and progress in the developmental areas of fine and gross motor skills, memory, etc. Much like a well-child visit with the pediatrician, children should participate in screenings annually at 3, 4, and 5 years old.

Please complete this form to request an Outreach Screening for your child. Screenings take place in the Early Childhood office at Hugh Cole Elementary School in Warren. Contact Lauren Sutton at 253-4000 x8078 or with any questions.

*****Please note - the school district is on break April 15-19 and we will respond to your request after we return.

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Child's Name *
Child's Date of Birth *
Parent/Guardian Name *
Phone Number *
Email Address *
Child's Primary Language *
What day/time would work best for your family? (check all that apply)
Questions, Comments, or Concerns
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