Autism Speaks

First Concern to Action Tool Kit

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If you have a concern about how your child is communicating, interacting, or behaving, you are probably wondering what to do next. The information provided in this tool kit can help you to sort that out. The First Concern to Action Tool Kit was developed for families and health care providers to help navigate those concerns as well as provide guidance on steps to take to obtain the right services.

Through this page, you can immediately download a tool kit or request a hard copy.

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Your Contact Information
  1. Email and/or Phone

Child Information
  1. Child's Race (check all that apply)

  2. Child's Ethnicity

Optional Printed Tool Kit
Your Request Information

Upon review of eligibility the tool kit will be delivered within 2 weeks.

  1. Have you observed the following? (check all that apply)

  2. How did you hear about the tool kit? (check all that apply)

  3. Can we email you a follow up survey?

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Contact Information
Last Name:*
First Name:
Email:
Preferred Phone:
ZIP/Postal Code:
Additional Information
Relationship to child:
Child's Month and Year of Birth:
Age of first concern in months:
Child's Race (check all that apply): White
Black/African American
Native Hawaiian or Pacific Islander
Asian
American Indian or Alaskan Native
Other
Unknown
Child's Ethnicity: Hispanic
Non-Hispanic
I would like a hard copy sent: Yes
Reasons you are requesting this toolkit:
Shipping Address 1:
Shipping Address 2:
Shipping City:
Shipping State:
Shipping ZIP/Postal Code:
First concern symptoms: Poor eye contact
No big smiles or other warm, joyful expressions by six months
No back-and-forth sharing of sounds, smiles or other facial expressions by nine months
No babbling by 12 months
No back-and-forth gestures such as pointing, showing, reaching or waving by 12 months
Preoccupation with parts of objects or toys rather than people
How did you hear about the toolkit?: Website
Autism Speaks event
Health care provider or professional
Advertisement
News story
Family member or friend
Other
Can we email you a follow up survey?: Yes
No
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