Dial 2-1-1 ext.6
866-652-4636
info@helpmegrowvt.org
helpmegrowvt.org

Welcome to the Help Me Grow Vermont Developmental Screening Program!

Because your child's first five years of life are so important, we want to help you provide the best start for your child. You've been invited to complete a brief screening tool, the Ages & Stages Questionnaires, Third Edition (ASQ-3), which offers a fun and interactive way for you to learn about and promote your child’s healthy development. The questionnaire may be offered every 4-, 6-, or 9-month period and will provide a quick check of your child’s development. 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 they were born premature below to start the screening. We look forward to your participation in our developmental screening program with ASQ-3!



(put "0" if not premature)

By proceeding with this questionnaire, you agree to allow Help Me Grow Vermont (HMGVT) to review your answers and follow up with you directly. Help Me Grow Vermont will communicate screening results and other basic information about your family with your child’s health care provider and other service providers. When appropriate, a copy of the scored questionnaire in full will be shared with your child’s health care or other service provider to improve support for your family.  

Additionally, HMGVT shares developmental screening information with others to provide an overall view of how Vermont’s children are doing and to coordinate support. By clicking “Submit” you are agreeing to share your child’s information and screening results as outlined in the Authorization for Release and Disclosure of Developmental Screening Results. This authorization is voluntary. 

For more details, or if you do NOT wish to participate in this online developmental screening program, please contact us.

 

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.