Beaver County Child Check
724-774-6494
[email protected]
138 Friendship Circle
Beaver, Pennsylvania 15009

Welcome to the Lifesteps Child Check, ASQ Online screening program!

For over 35 years, the Lifesteps Child Check program has been providing free developmental and/or autism screenings to thousands of families each year. Child Check screenings are designed for children age birth to five to assist families in recognizing early warning signs of developmental delays. After the screening, Lifesteps Developmental Screener will then provide developmental resources and/or referrals to families that will assist with a child’s growth and development.

Lifesteps offers a confidential online screening that utilizes Ages and Stages Questionnaires, (ASQ:SE-2). 

View description Hide description

Because your child's first 5 years of life are so important, we want to help you provide the best start for your child. You've been invited to participate in the Ages & Stages Questionnaires: Social-Emotional, Second Edition (ASQ:SE-2) to help you keep track of your child's social and emotional development. The questionnaire may be provided for use at 2, 6, 12, 18, 24, 30, 36, 48, or 60 months of age. You will be asked to answer questions about some of your child's behaviors. The questionnaire includes questions about your child's ability to calm down, take direction and follow rules, communicate, perform daily activities (e.g., eating, sleeping), act independently, demonstrate feelings, and interact with others.

Please enter your child's birth date and the number of weeks he or she was born premature below to start the screening. Please note that the information you enter into this website is secure and cannot be seen or accessed by anyone other than the program employees who have invited you to participate in this screening.

We look forward to your participation in ASQ:SE-2!



(put "0" if not premature)


AUTHORIZATION FOR SCREENING SERVICES 

I acknowledge that I have the legal authority to grant permission to have my child screened by the Lifesteps’ Child Check Team using Brookes Publishing Ages & Stages Questionnaires (ASQ).

I understand and agree to the following:

·    Screening gathers information on my child’s thinking, talking, moving, hearing, etc.

·    Screening results are predicated upon my truthful completion of the questionnaire

·    Any other release of my child’s information shall require completion of Lifesteps Consent for Release of Information form

·    Lifesteps Child Check Team may provide screening results written and/or verbal and if applicable through the child care/preschool facility

·    Further evaluation may be provided at no cost to me by the Base Service Unit (BSU) or Intermediate Unit (IU)

·    If my child is screened as part of a child care/preschool facility, I agree to sign Lifesteps Consent for Release of Information form permitting Lifesteps to share results

·    My child’s records/information will only be released as permitted by applicable law and as set forth in Lifesteps HIPAA Notice of Privacy Practices 

I have read the provided information about the Ages & Stages questionnaires, and I wish to have my child participate in the online screening program. I will fill out the questionnaire about my child's development and promptly submit the completed questionnaire through this Family Access online questionnaire completion system. 

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.