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AS ASC NAME DATE AGE DOB MALE/FEMALEDIAGNOSIS (IF APPLICABLE) WHO DIAGNOSED ASD (IF APPLICABLE) QUESTIONNAIRE COMPLETED BY Please complete if you can:VIA (Verbal IQ): PIN (Performance IQ): Global
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Autism spectrum disorder (ASD) is a developmental disorder that affects communication and behavior.
Healthcare providers, educators, and certain government agencies may be required to file autism spectrum disorder facts.
The autism spectrum disorder fact form typically requires information about the individual's diagnosis, symptoms, and treatment plan.
The purpose of the autism spectrum disorder fact is to gather data on individuals with ASD to inform research, policy development, and support services.
Information such as demographics, diagnostic criteria, interventions, and outcome measures may be reported on the autism spectrum disorder fact.
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