Get 48 Month Asq-3 Information Summary - Help Me Grow Utah

Filling out the 48 Month ASQ-3 Information Summary is an essential step in evaluating your child's developmental milestones. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to effectively fill out the form online.

1. Press the ‘Get Form’ button to access the document and open it for editing.
2. Enter the child’s full name in the designated field, ensuring accuracy to prevent any processing issues.
3. Input the Child ID number as provided, which helps in tracking and identifying the child's information within the system.
4. Select the program name, ‘Help Me Grow Utah,’ to associate the document with the appropriate services.
5. Fill in the date the ASQ was completed, formatted as YYYY-MM-DD, to establish a clear record of the evaluation date.
6. Record the child’s date of birth in the same YYYY-MM-DD format to ensure proper age assessment during evaluation.
7. Identify the provider's name who administered the ASQ by entering their full name in the corresponding field.
8. Move to the scoring results section and carefully input scores for each developmental area, making sure to place scores accurately according to the evaluation results.
9. Complete the overall responses section by indicating 'yes' or 'no' to each question, providing additional comments where necessary for clarity.
10. Assess the ASQ score interpretation and determine if follow-up actions are needed based on the total scores and responses.
11. In the follow-up action taken section, check all applicable follow-up measures that you plan to take, ensuring to specify if required.
12. Review all fields for completeness and accuracy before you finalize the document.
13. Once all sections are completed, save your changes, and choose to download, print, or share the form as needed.

Complete your 48 Month ASQ-3 Information Summary online today for timely support in your child's development.