Screening Forms
Forms to be Completed
Want to help your child know what to expect during their Hearing & Vision Screening? View our Social Story!
Paper forms can be printed and brought to the appointment or emailed to our office.
Along with the forms below, please bring a copy of your child's birth certificate and immunization records to their screening appointment.
- Hearing and Vision Worksheet
- Screening Registration Form
- Child Health and Developmental History (3-5 years)
- Early Childhood Screening Consent
- Early Childhood Screening Release of Information
- ASQ:SE-2: Please choose the ASQ form below appropriate for your child's age on their screening day:
- ASQ:SE-2 for 2 yrs, 9 mo-3 yrs, 5 mo
- ASQ:SE-2 for 3 yrs, 6 mo-4 yrs, 5 mo
- ASQ:SE-2 for 4 yrs, 6 mos- 5 yrs, 5 mo
- Complete Online enrollment
*Select "Skyward Login" if you are an existing ISD 181 family, otherwise, select "New to the District"
All students who have yet to begin Kindergarten should select "Kindergarten Enrollment" as their boundary school.
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Click Here for Spanish/Español Registration Packet
Recuerde imprimir y completar el paquete de registro de la prueba en español para la cita de su hijo.
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Click Here for Vietnamese/tiếng Việt Registration Packet
Xin vui lòng nhớ in và hoàn thành hồ sơ đăng ký kiểm tra bằng tiếng Việt cho cuộc hẹn của con bạn.