Formulaire de rapport d'évaluation du développement (anglais)

It is recommended that CMV screen positive infants be followed for developmental surveillance by a dedicated community pediatrician throughout childhood. The ASQ3 screening tool should be used and the recommended surveillance schedule is as follows:

  • 3 assessments in the first year
  • 3 assessments in the seconf year (including one at 14 and 22 months)
  • 1 assessment in the 3rd, 4th, and 5th years

Please use the link below to securely submit your ASQ3 scores following each assessment. If your preference is to submit a consult note with the scores, kindly fax them to 833-377-0518.

Developmental Surveillance Report Form

Contact Us

Centre hospitalier pour enfants de l’est de l’Ontario
415, chemin Smyth
Ottawa (Ontario) K1H 8M8

Numéro gratuit: 1-877-627-8330
Téléphone: (613) 738-3222
Télécopieur: (613) 738-0853