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Pediatric Developmental Assessment Forms/Tools

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Anonymous

(@Anonymous)

Posts: 0

New Member Guest

Topic starter

Looking for any forms or templates that are used to incorporate either M-CHAT, the ages and stages questionnaires, or any other approved developmental screening tools into Centricity. Any info would be appreciated.

Posted : October 3, 2012 3:24 am

etanwalls

(@etanwalls)

Posts: 26

Trusted Member

We have been looking for the same thing for a while and have come up blank. We are now looking at OCR of the scan and then score from there.

Posted : October 19, 2012 1:08 am

marylongcore

(@marylongcore)

Posts: 54

Trusted Member

We have a 2-tabbed VFE M-CHAT form. The first tab has the questions and a score button; the second is all text, with an explanation of the scoring and recommendations. If you want, let me know and I'll send screenshots and then, if interested, the files.

Posted : October 23, 2012 11:12 pm

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

Topic starter

I would appreciate the opportunity to see the screen shots. Can you email them to me at [email protected]? Thanks very much!

Posted : October 24, 2012 1:31 am

DavidShower

(@davidshower)

Posts: 1255

Noble Member

How did you get permission to share that M-Chat form? We got permission from the M-Chat people to make an electronic copy for ourselves but couldn't get permission to share it.

David Shower

OU Tulsa School of Community Medicine.

Posted : October 24, 2012 3:08 am

marylongcore

(@marylongcore)

Posts: 54

Trusted Member

That's why I didn't just post it in the first place. We have a copyright statement included on the form itself, and we are a non-profit organization, so it was ok. Still, that is a valid question that I've been wondering about for MMSE, as well.

Posted : October 24, 2012 3:23 am

[email protected]

(@anna-rodriguedfdrussell-org)

Posts: 141

Estimable Member

marylongcore said:

We have a 2-tabbed VFE M-CHAT form. The first tab has the questions and a score button; the second is all text, with an explanation of the scoring and recommendations. If you want, let me know and I'll send screenshots and then, if interested, the files.

Posted : May 13, 2014 3:02 am

[email protected]

(@anna-rodriguedfdrussell-org)

Posts: 141

Estimable Member

Our practice is also looking for M-Chat and ASQ Development Screening forms and I would be intested in your screenshots and form files. You can send to: [email protected]. Thank you.

Posted : May 13, 2014 3:04 am

Stacey LaGrange

(@slagrang)

Posts: 185

Reputable Member

We also need this form and would love to get this if anyone has discovered they can share. This would save me a lot of time.

Thanks, Stacey

[email protected]

Posted : December 17, 2014 7:47 am

Jim Poulos

(@jpoulos)

Posts: 118

Estimable Member

Were these forms ever published on the CHUG forum? I would also like to see a screen shot and the VFE files, if possible.

Jim Poulos ([email protected])

Ann Muchina ([email protected])

Posted : June 26, 2015 1:14 pm

pdangelo

(@pdangelo)

Posts: 140

Estimable Member

Did anyone ever have any luck with a form for Ages and Stages? We are looking for them as well.

Thanks!

Posted : June 26, 2019 2:45 am

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