SAUSD ECE Program
714-569-9780
417 E. Central Ave.
Santa Ana,  CA 92707 

 

Welcome to our ASQ Online screening program!  

By entering your child's information into this website, you are consenting to your child's information being entered into the OC Children's Screening Registry, an online database designed to enable primary healthcare providers and community-based providers to view and/or enter developmental and behavioral screening data and share information on referral and outcomes. The information you enter into this website is confidential and can only be accessed by Santa Ana Unified School District  staff. However, information entered into the OC Children's Screening Registry can be accessed by Help Me Grow and authorized OC Children's Screening Registry users. Please note that you can opt out of sharing your child’s information in the OC Children’s Screening Registry when completing the Child Information Section during this registration process or at any time in the future by contacting Help Me Grow Orange County, without any consequences to receiving services. You acknowledge that your opting out cannot and will not recall information that has previously been released in reliance upon your consent provided herein. 

 

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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, Third Edition (ASQ-3), to help you keep track of your child's development. The questionnaire may be provided every 2-, 4- or 6-month period. You will be asked to answer questions about some things your child can and cannot do. The questionnaire includes questions about your child's communication, gross motor, fine motor, problem solving, and personal social skills.

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-3!



(put "0" if not premature)



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.