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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

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