Screening Tools
​At Sachse Pediatrics we believe that early detection of developmental delays and behavioral problems is crucial to better outcomes for children. We use several developmental screening tools that allow us to follow your child’s development more closely and provide early intervention should it be needed.
The Questionnaires listed below are all fillable-pdf. Please either complete, print and bring to your visit or complete, save to your device ,and email the completed questionnaire to info@sachsepeds.com
Well Child Visits - Please complete the questionnaires listed based on your childs age
2 Week Wellchild - Edinburgh
1 Month Wellchild - Edinburgh
2 Month Wellchild - ASQ 2 Month and Edinburgh
4 Month Wellchild - ASQ 4 Month and Edinburgh
6 Month Wellchild - ASQ 6 Month and Edinburgh
9 Month Wellchild - ASQ 9 Month and M-CHAT
12 Month Wellchild - ASQ 12 Month
18 Month Wellchild - ASQ 18 Month and M-CHAT
2 Year Wellchild - ASQ 2 Years and M-CHAT
2.5 Year Wellchild - ASQ 30 Months
3 year Wellchild - ASQ 36 Months
​4 year Wellchild - ASQ 48 Months
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Teen annual physicals ages 11-14 years old - Bright Futures and PHQ-9
Teen annual physicals ages 15 - 18 years old - Bright Futures and PHQ-9
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ADHD Evaluation Visits - Parents - NICHQ Vanderbilt Assessment Scale and Teachers - NICHQ Vanderbilt Assessment Scale
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ADHD Follow up Visits - Parents - NICHQ Vanderbilt Assessment Follow-up and Teachers - NICHQ Vanderbilt Assessment Follow-up
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Ages & Stages Questionnaire
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is designed to screen children for developmental delays in the critical first five years of life.
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is reliable, accurate and well-studied.
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is designed for ease of use for parents.
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allows parents to fill out questionnaires at home and submit online or print and bring them to the child’s checkup.
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allows children to be tested in the comfort of home and at the parents’ convenience.
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includes five developmental areas: communication, gross motor, fine motor, problem solving and personal-social skills.
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allows parents to observe their children prior to the office visit.
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enhances accuracy of screening by Involving parents.
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Please let us know if you prefer to have the questionnaire sent to you in Spanish.
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Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R)
The American Academy of Pediatrics recommends the Modified Checklist for Autism in Toddlers (M-CHAT) questionnaire to screen for autism. The M-CHAT-R is a revised, updated version that is more user-friendly and provides more accurate results. At Pediatric Associates, we ask that the parent fill out the questionnaire prior to the 18-month and 24-month check-up. The 20-item, parent-completed form generally takes five to seven minutes to be completed and a brief time for staff to score. Please let us know if you have any questions regarding this screening tool.
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Attention Deficit Hyperactivity Disorder Screening
What are these questionnaire's?
There are several tools used to screen for ADD/ADHD in children. The Vanderbilt ADHD rating scale is an initial assessment tool, for use with children ages 6-12. The tool contains rating scales for symptoms of disorders and for impairments in academic and behavioral performance. Although this tool is not intended for diagnosis, it is widely used to provide information about symptom presence and severity, as well as the child’s performance in the classroom, home, and social settings. The Vanderbilt Scale takes approximately 10 minutes to complete (the Parent Form has 55 items; the Teacher Form has 43 items).
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