SUU Early Intervention
435-865-8877
[email protected]
2390 W UT-56 Suite 5
Cedar City, Utah 84720
https://www.suu.edu/earlyintervention/



(put "0" if not premature)

Screening Date Options

For ASQ:SE-2™ English

Screening Date Selection


For ASQ-3™ English



I am the parent or legal guardian of this child with authority to make healthcare decisions for my child. By clicking submit, I agree to allow data entered through this electronic form to be stored in a secure database for my provider to review.

If I choose not to submit this and share my child’s screening data as stated above, I may request a paper screening option from my child’s provider.

I understand that signing this authorization is voluntary. I understand this authorization will expire upon my child's 18th birthday.

I understand that I may revoke this authorization at any time and the revocation does not apply to any action that has taken place prior to the date I revoke this authorization.

To revoke this authorization, I must make a request in writing and send it to: [email protected].

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.