ELC OF DUVAL - CHILD CARE PROVIDERS
Contact - Danielle DeCastro [email protected]; Phone: 904-208-2040www.elcduval.org
Child Date of BirthFormat: yyyy-mm-dd Child DOB you entered is in the future, are you sure of that? (Please correct the date before proceeding to the next step). Please enter your child's DOB and not the screening date or today's date (Please correct the date before proceeding to the next step). Child DOB you entered is not valid, please format the date like this: YYYY-MM-DD
Weeks Premature (put "0" if not premature)
List others assisting with completion of the questionnaire
All families are presented wtih a consent form at the time of enrollment. If you are the child care provider, please proceed with the developmental screening.
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.