Diagnostic Autism Evaluations Form 2

Child's Name

First Name

Last Name

Child's Date of Birth

YYYY

Parent Name

First Name

Last Name

Parent Email

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What are your main concerns regarding your child's development?"

Has your child every been diagnosed with Autism, and if so, by who and when?

Diagnostic Autism Evaluations are completed by a Licensed Psychologist and include:

Standardized tools for diagnosing Autism (ADOS-2 and CARS-2)
Standardized tools for cognitive testing
Standardized tools for the assessment of adaptive functioning
Interviews with caregivers, teachers, and other providers as appropriate
Home and school observations
Review of educational and treatment records
Comprehensive report of results
Written recommendations for next steps and/or supportive services
Face-to-face meeting with caregivers to discuss evaluation results and recommendations
Participation in IEP meetings, if needed
Testimony in Impartial Hearings, if needed