This Autism Screening Checklist was developed based upon the extensive clinical background of Dr. Michael Wagner, a clinical psychologist with years of experience working with children with autism and other developmental disabilities. To maintain the integrity of this testing tool, we incorporated the DSM-IV criteria and combined it with input from Dr. Wagner and a team of BCBA's to make this checklist a very user-friendly and effective early assessment tool. The Assessment Checklist is a FREE tool that Special Learning provides to the autism community and can be used to either detect or rule out an ASD diagnosis.
Gender:
Type of Birth:
Individuals Diagnosed with ASD within the Immediate Family:
Reason(s) For Completing this Screening Checklist:
Optional Information
Parent(s):
1).
2).
Contact Information: