Get Fl Merritt Speech & Learning Questionnaire - Child Or Adolescent 2016-2025

Completing the FL Merritt Speech & Learning Questionnaire - Child Or Adolescent online is a crucial step in evaluating speech, language, or learning disabilities. This guide will provide you with clear, step-by-step instructions to fill out the form effectively and accurately.

Follow the steps to fill out the questionnaire online.

1. Press the ‘Get Form’ button to access the questionnaire and open it in your browser.
2. Fill in the date, your child's name, age, birth date, gender, and address in the designated fields. This information helps identify and locate your child for assessment.
3. Provide your contact information including phone number, the name of the person completing the form, and their relationship to the child. This is essential for communication throughout the evaluation process.
4. Include the name and specialty of the referring doctor, agency, or friend, along with their contact details. This helps the evaluators understand the context of the referral.
5. Indicate whether the child has had previous testing and provide details regarding the agency and dates. This informs the evaluators of any prior assessments.
6. Explain why the evaluation is being requested. Be as detailed as possible to aid the evaluators in understanding your concerns.
7. Complete the family information section, including details about the parents and siblings, such as names, ages, health, and educational backgrounds. This context can be relevant for assessment.
8. Describe any birth history or developmental concerns, including factors related to pregnancy and early childhood behaviors.
9. Provide detailed medical history, including present weight, height, any childhood diseases, current medications, and any health-related concerns.
10. Fill out the education section with your child's current grade, school details, and any observed challenges or achievements in academic settings.
11. Discuss your child's language development milestones, any speech problems, and seek to provide specifics to assist in the evaluation process.
12. Sign to give permission for testing and indicate if you would like a copy of the report sent to anyone.
13. Complete the billing information section, stating who is responsible for the bill and any necessary contact details.
14. Before submitting, review all information for accuracy. Once all fields are completed, save changes, and download or print the document as needed.

Begin filling out the FL Merritt Speech & Learning Questionnaire - Child Or Adolescent online to support your child’s evaluation process.