Child Screening (Autism)

Parent Full Name

Phone #

Child Full Name

Child Age

Social interaction difficulties with same age peer

Poor eye contact, or staring from unusual angle

In his/her own world (aloof)

Does not understand other people’s feelings

Inappropriate emotional response (not reaching to be picked up)

Abnormal joy expression when seeing parents

Facial expressions don’t fit situations

Inappropriate crying or laughing

Hates crowds, difficulties in restaurants and supermarkets

Ignores when called, pervasive ignoring, not turning head to voice

Speech and language delay

Produces unusual noises or infantile squeals

Voice louder than required

Difficulty expressing needs or desires, using gestures

No spontaneous initiation of speech and communication

Repeats heard words, parts of words or TV commercials

Repetitive language (same word or phrase over and over)

Can’t sustain conversation

Speaks same to kids, adults, objects (can’t differentiate)

Uses language inappropriately (wrong words or phrases)

Excessive fear of noises (vacuum cleaner); covers ears frequently

Ignores pain (bumps head accidentally without reacting)

Doesn’t like to be touched or held (body, head)

Temper tantrums, overreacting when not getting his/her way

Difficulty understanding basic things (“just can’t get it”)

Pulls parents around when wants something

Behavioral difficulties

Abnormal symbolic or imaginary play

Hand or finger flapping; self-stimulation

Head banging

Self mutilation, inflicting pain or injury

Arranging toys in rows

Smelling, banging, licking or other inappropriate use of toys

Obsessed with objects or topics (trains, weather, numbers, dates)

Spinning objects, self, or fascination with spinning objects

Restricted interest (watching the same video over and over)

Attachment to unusual objects (sticks, stones, strings, or hair)

Stubborn about rituals and routines; resists to change

Restricted taste by consistency, shape, or form (refuses solids)

We Are a Joint Commission Accredited Facility

At First Care CMS we demonstrates our commitment to the compliance of the highest standards of behavioral and mental health services.

[email protected]
(786) 542-5043

1400 NW 107th Ave Ste 310,
Sweetwater, FL 33172

Mon - Fri: 8:00 am - 5:00 pm
Saturday - Sunday closed

Child Screening Autism

Child Screening (Autism)

We Are a Joint Commission Accredited Facility

About Us

1st Care is a Community Mental Health and Behavioral Center founded in 2017 and accredited by the Joint Commission.

Contact Us!

Fax: (786) 542-5049

Email: [email protected]

Our Location

1400 NW 107th Ave Ste 310,
Sweetwater, FL 33172

Mon - Fri: 8:00 am to 5:00 pm
Saturday - Sunday closed

[email protected] (786) 542-5043

1400 NW 107th Ave Ste 310, Sweetwater, FL 33172

Mon - Fri: 8:00 am - 5:00 pm Saturday - Sunday closed

Child Screening Autism

Child Screening (Autism)

We Are a Joint Commission Accredited Facility

About Us

1st Care is a Community Mental Health and Behavioral Center founded in 2017 and accredited by the Joint Commission.

Contact Us!

Fax: (786) 542-5049

Email: [email protected]

Our Location

1400 NW 107th Ave Ste 310, Sweetwater, FL 33172

Mon - Fri: 8:00 am to 5:00 pm Saturday - Sunday closed

[email protected]
(786) 542-5043

1400 NW 107th Ave Ste 310,
Sweetwater, FL 33172

Mon - Fri: 8:00 am - 5:00 pm
Saturday - Sunday closed

1400 NW 107th Ave Ste 310,
Sweetwater, FL 33172

Mon - Fri: 8:00 am to 5:00 pm
Saturday - Sunday closed