Children's Health Services
[email protected]
1826 W Arlington Blvd
Greenville, North Carolina 27834

Welcome to Children's Health Services online information website. You will be entering information about your child in a secured environment. This information will help our staff provide you with the professional services you expect.

Your information goes into our patient database and is not sent directly to Childrens Health Services staff. We access this information prior to your visits and use it to keep you informed on issues important to your children.

Print the ASQs off and bring into your appointment. Please do not submit them back to our office. Thank you!

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Because your child's first 5 years of life are so important, we want to help you provide the best start for your child. You've been invited to participate in the Ages & Stages Questionnaires, Third Edition (ASQ-3), to help you keep track of your child's development. The questionnaire may be provided every 2-, 4- or 6-month period. You will be asked to answer questions about some things your child can and cannot do. The questionnaire includes questions about your child's communication, gross motor, fine motor, problem solving, and personal social skills.

Please enter your child's birth date and the number of weeks he or she was born premature below to start the screening. Please note that the information you enter into this website is secure and cannot be seen or accessed by anyone other than the program employees who have invited you to participate in this screening.

We look forward to your participation in ASQ-3!

(put "0" if not premature)

By submitting this information, you are giving consent to Childrens Health Services to use this in counseling and treatment your child. All replies are kept in strict confidence.

Note: By clicking "Submit", you are agreeing to both our Family Access End User License Agreement and any other consent or authorization information outlined on this page.