Birth to Three Early Intervention Program
Hope Sanson, Part C Data Manager
[email protected]
410 Federal Street
Dover, Delaware 19901
https://dhss.delaware.gov/dhss/dph/birthtothree/index.htm

Screening Guidance:  

  • - If your child has an IFSP or IEP, DO NOT complete the ASQ screenings.  

  • - Complete both screenings (ASQ-3 and ASQ:SE-2) unless you have been told not to. 

  • - Include the name of your child's current child care or preschool where asked.  Do your best to include the licensed name of the facility, license number, and address where it asks.  

  • - Review consent statement (below) before completing the screening. 

 

Consent:  

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), my child care program, The Birth to Three Early Intervention Program (B23) and my school district of residence and/or school district where my child care is located.  

 

Screening Results: 

  • - You will receive an email with your child’s results. You may also receive a call to discuss the results and any noted concerns. If no working email is provided, results will be mailed.     

  • - Check the  junk/spam folder in your email if you have not received results within 4 weeks after submitting. 



(put "0" if not premature)

Screening Date Options

For ASQ-3™ English

Screening Date Selection


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.

 

 

I also understand that 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.