Bethesda Pediatrics
(301) 299-8930
[email protected]
11325 Seven Locks Road
Suite 238
Potomac, Maryland 20854

Welcome to our Ages & Stages Questionnaires Online screening program!  At Bethesda Pediatrics, we follow the American Academy of Pediatrics' guidelines to administer standardized developmental screens at the ages of 9 months, 18 months, and 30 months.  These questionnaires help us make sure that your child's development is on track and can identify your child’s strengths as well as any areas where they may need support.  The questionnaire includes questions about your child's communication, gross motor, fine motor, problem solving, and personal social skills.

We ask that you complete the questionnaire as soon as possible, in advance of your child's upcoming check up.  The results and any recommendations will be shared with you at your appointment.

(put "0" if not premature)

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.

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.