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Child Find Intake Form

SVSD offers regularly scheduled, free developmental screenings for children ages 3-5 years old. These screenings allow early childhood professionals to assess your child’s development in social, adaptive, motor, speech/language, and cognitive skills. If eligible, SVSD offers a continuum of specialized services, including developmental preschool at our Early Learning Center (ELS) and itinerant service models.

Please fill out the following intake form. Once you complete the form, our team will contact you directly with the possible next steps of the process. 

2026-27 Screenings

2026 Dates

  • Sept. 4 & 25
  • Oct. 9 & 23
  • Nov. 13
  • Dec. 4

2027 Dates

  • Jan. 15 & 29,
  • Feb. 12
  • March 19 & 26
  • April 9 & 30
  • May 14 & 28

To Schedule an Appointment:

Jess Lammers
(425) 831- 4201

Child Find Intake Form

Required

Parent Information

Namerequired
First Name
Last Name
What is your primary reason for filling out the Child FInd intake form? required
Preferred Method of Communicationrequired
Do you require an interpreter to communicate with others in English? required

Child Information

Child's Namerequired
First Name
Last Name
Must contain a date in MM/DD/YYYY format
Child's Genderrequired
Child's Ethnicityrequired
Child Lives With: required
Does your child require an interpreter to communicate with others in English? required
Does your child have siblings attending any schools in the SVSD?required

Reason for Referral

Did your child's daycare or preschool provider refer you to Child Find?
Did your child's doctor or therapist refer you to Child Find?
Whare are the areas of challenge or potential delay?

Child's Educational or Medical Background

Does your child use hearing aids?required
Does your child use eyeglasses?required
Does your child use specialized equipment (orthotics, wheelchair, walker, etc)?required
Has your child attended daycare or preschool?required
Has your child been evaluated at a hospital, clinic, or school?required
Has your child received a diagnosis (such as Autism, a genetic syndrome, a health condition, etc), been recommended for an evaluation for a diagnosis, or is on a waitlist for an evaluation for a diagnosis?required

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