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Autism Assessment Clinic
Referral Request
PHONE: 8028474563FAX: 8028477998Thank you for your referral to the Vermont Center for Children Youth and Families and the
Autism Assessment Clinic. This clinic
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How to fill out autism assessment clinic referral

How to fill out autism assessment clinic referral
01
Contact your healthcare provider or primary care physician to discuss the need for an autism assessment clinic referral.
02
Schedule an appointment with the healthcare provider or primary care physician to discuss your concerns and provide relevant information about the individual who needs the assessment.
03
During the appointment, the healthcare provider will evaluate the individual's symptoms, development, and behavior to determine if an autism assessment is necessary.
04
If an autism assessment is recommended, the healthcare provider will provide a referral to an autism assessment clinic.
05
Contact the autism assessment clinic to schedule an appointment and provide them with the referral from your healthcare provider.
06
Gather any relevant medical records, previous assessments, and developmental history of the individual to bring to the appointment at the autism assessment clinic.
07
Attend the scheduled assessment appointment at the autism assessment clinic, where multidisciplinary professionals will evaluate the individual using various assessments and techniques.
08
Based on the assessments, the autism assessment clinic will provide a diagnosis or recommendations for further evaluation or intervention.
09
Follow up with the healthcare provider or primary care physician to discuss the results of the assessment and determine the next steps for intervention or support.
Who needs autism assessment clinic referral?
01
Anyone who suspects that they or someone they know may have autism can benefit from an autism assessment clinic referral.
02
Parents or caregivers of children who exhibit developmental delays, social communication difficulties, repetitive behaviors, or other symptoms associated with autism may seek a referral.
03
Adults who experience challenges with social interactions, communication, sensory processing, or other autism-related symptoms can also seek a referral.
04
Healthcare providers or primary care physicians may recommend an autism assessment clinic referral for individuals exhibiting potential signs of autism.
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What is autism assessment clinic referral?
Autism assessment clinic referral is a form required to be completed to refer an individual to a clinic for evaluation and diagnosis of autism spectrum disorder.
Who is required to file autism assessment clinic referral?
Healthcare professionals, educators, or parents/guardians of individuals suspected of having autism are required to file the referral.
How to fill out autism assessment clinic referral?
To fill out the referral, one must provide the individual's personal information, medical history, behavioral concerns, and reason for referral.
What is the purpose of autism assessment clinic referral?
The purpose of the referral is to facilitate the evaluation and diagnosis of autism spectrum disorder in individuals who show symptoms or are at risk.
What information must be reported on autism assessment clinic referral?
The referral must include the individual's name, date of birth, contact information, medical history, developmental milestones, and reasons for referral.
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