Screening Forms

The following questionnaires are for completion by parent(s)/carer(s) and school staff. The forms should only be completed if you have been contacted by the First Point of Contact following a referral for a young person where there is a query about potential autism or ADHD, or if you work in a school and have already submitted a referral for autism or ADHD.

The questionnaire will need to be saved locally, completed electronically, and then printed out.

Completed forms should be posted to the First Point of Contact at 9 Clare Road, Halifax, HX1 2HX.

Unfortunately, we can’t accept completed questionnaires by e-mail.

Please phone the First Point of Contact on 01422 300 001 if you would like to discuss anything further.

Screening Questionnaire (parent carer)

Screening Questionnaire (school)