Registration Form


Early screening for Autism Spectrum Disorders is necessary in order to provide early intervention services. Therefore, audience participants will be prepared to screen for Autism Spectrum Disorders using the evidence-based M-CHAT-R tool after attending this presentation. Discussion will also entail how to address parents with the results of the M-CHAT-R, making referrals, and following up on referrals and recommendations in order to ensure follow-through and coordination of care.

To download a program brochure, click here.

Information for this form is provided voluntarily. MI-AHEC is required to report information about program participants. Data will be kept private to the extent allowed by law and will be referenced periodically to evaluate the effectivness of MI-AHEC services and programs. We appreciate your cooperation in the completion of this form.

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* 10. Are you employed by or work in the following? (select all that apply)

* 11. Health Profession Discipline

* 12. What is the highest level of degree that you have achieved?

* 13. Do you intend to apply the training from this activity toward employment or professional requirements, continuing education credity, certification or credentialing?

* 14. How did you hear about this presentation?