Phycinity PLLC

(919)373-3636

[email protected]

2694 NC 24-87

Cameron, North Carolina 28326

https://www.phycinity.com

Dear Parents,

Welcome to our ASQ Online screening program!

Once again, we welcome our parents and families to our clinic.  We look forward to be involved in every aspect of your children development, with the ultimate goal of ensuring a bright future. Choosing Phycinity as your health care provider, you have embarked on an advanced and modern pediatric practice tailored to the changing world and technological advancements we witness today. Our current patients have been very pleased with the recognition we have received in the professional world.

Allow me to wish you the best of luck and may this journey as a parent be filled with success, health and prosperity.

Sincerely Yours,

Dr. C

Omar L. Caban, M.D.

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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)


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.