Northampton/Hadley Family Connection
Laura Frogameni, Preschool & Partnership Coordinator

[email protected]

Early Childhood Center, 40 Main Street, Suite 206, Florence MA 01062
413-587-1471
Northamptonfamilies.com



(put "0" if not premature)

For ASQ-3™ English


For ASQ:SE-2™ English


ONLINE CONSENT FORM

Please read the text below and click on the “submit button” if you choose to proceed with the Ages & Stages Questionnaires® (ASQ®) screening online via the Family Access Link provided to you by Northampton/Hadley Family Connection.

I acknowledge that I have read the information provided by the Department of Early Education and Care (EEC) about the ASQ® screening process and choose the following option:

 

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.