Mitchell County Partnership for Children
785-738-3055
mcpc@usd273.org
PO Box 583
Beloit, Kansas 67420
www.usd273.org



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For ASQ-3™ English

For ASQ:SE-2™ English

I have read the provided information about the Ages & Stages questionnaires, and I wish to have my child participate in the online screening program. I will fill out the questionnaire about my child's development and promptly submit the completed questionnaire through this Family Access online questionnaire completion system.

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