I have read the information provided 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. 

Family & Childcare Resources of N.E.W Ages and Stages Online Questionnaire  

A unique feature of the Help Me Grow system is that we can share a copy of the scored questionnaire with your child’s healthcare provider, school, childcare provider, and community resource partners upon your request. This is a free and optional service that allows you to work cooperatively with those who interact with your child so they can offer higher quality support and services.  Once you receive the results, you will be given the opportunity to provide the name and contact information of any organization or professional with whom you would like us to share this information.  No information will be shared without your consent. You can read more information about our consent and use of data policy.