PACE Child Care Works
508-999-9930 X133
[email protected]
134 South Second Street
New Bedford, MA 02740
www.pacechildcareworks.com



(put "0" if not premature)

Screening Date Options

For ASQ-3™ English


For ASQ:SE-2™ English


 

                                                                       ONLINE CONSENT FORM  

Please read the text below and click on the “submit button” if you choose to proceed with the Ages & Stages Questionnaires® (ASQ®) screening online via the Family Access Link provided to you by P.A.C.E. Child Care Works. 

I acknowledge that I have read the information provided by the Department of Early Education and Care (EEC) about the ASQ® screening process and choose the following option: 

 

Text Box 

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.