Red Clay Consolidated School District

Jocelyn Tietze, Child Find Screening Coordinator 

302-892-3246
[email protected]
99 Middleboro Rd
Wilmington, Delaware 19804

 

IF your child's has an IEP/IFSP (including speech only services)- You do not need to complete the ASQ. 

SCREENING INSTRUCTIONS:  

- Unless instructed otherwise, select the FIRST option to complete both portions of the ASQ (3 and SE-2)

- Include the name of your child's current Preschool/Child Care program NAME and LOCATION and/or any outside agencies you may receive services through (e.g.Theraplay, Easterseals) 

- Review consent (next page) 

 

MISSING RESULTS?: 

check the  junk/spam folder in your email if you have not received results within 2 weeks after submitting.

Contact Jocelyn Tietze with any questions. 

 

 



(put "0" if not premature)

For ASQ-3™ English


For ASQ:SE-2™ English


By giving my consent, I understand that ASQ screening results will be shared with:

·      The Delaware Department of Education (DDOE) and the Division of Public Health (DPH) within Delaware Health and Social Services (DHSS) to better support my child.

·      My child care program who is required by law to track completed developmental screenings to help better support my child.

·      The Birth to Three Early Intervention Program (B23) or my school district of residence and/or school district where my child care is located because they review the screenings and help with next steps.

 

o   I will be contacted with results via email, US mail, or phone call to assist with follow up.

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.