---
title: Autism Spectrum Screening Age Verification Form Template | Paperform
description: Professional autism spectrum screening form with age verification, developmental history, school records upload, and evaluation appointment scheduling for healthcare and education providers.
url: "https://paperform.co/templates/autism-spectrum-screening-age-verification-form"
type: static
generatedAt: "2026-03-28T00:43:05.837Z"
---

[← Back to free form templates](/templates/)    ![Autism Spectrum Screening & Age Verification Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/autism-spectrum-screening-age-verification-form.png)
    [Preview](https://_preview.paperform.co/ai-template/autism-spectrum-screening-age-verification-form) [Use this template for free](/create?ai-template=autism-spectrum-screening-age-verification-form)    [Verification & Validation Forms](/templates/category/verification/)[Healthcare & Medical Forms](/templates/category/healthcare/) [Healthcare](/templates/industry/healthcare/)[Mental Health](/templates/industry/mental-health/)[Education](/templates/industry/education/) [Physician](/templates/role/physician/)[Therapist](/templates/role/therapist/)[Counselor](/templates/role/counselor/)[School Counselor](/templates/role/school-counselor/)[Psychologist](/templates/role/psychologist/)[Social Worker](/templates/role/social-worker/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Teacher](/templates/role/teacher/)[School Administrator](/templates/role/school-admin/)     About this free form template
### Streamline Autism Spectrum Screening with Paperform

If you're a healthcare provider, educational institution, or therapy practice offering autism spectrum evaluations, this template helps you efficiently gather critical information before the first assessment appointment. Instead of juggling multiple forms, emails, and phone calls, this **Autism Spectrum Screening & Age Verification Form** brings together age confirmation, developmental milestones, behavioral observations, school records, and scheduling into one seamless experience for families.

#### Designed for Healthcare and Educational Professionals

This template is ideal for pediatric clinics, child psychologists, developmental specialists, special education coordinators, and therapy practices conducting autism spectrum disorder (ASD) screenings. The form captures essential background information including developmental history, current behaviors, communication patterns, and relevant medical or educational documentation—all before the evaluation appointment.

With Paperform's conditional logic, you can show age-appropriate questions based on the child's birthdate, ask follow-up questions only when relevant, and guide families through a complex intake process with clarity and empathy. The form validates age requirements automatically, ensuring compliance with your screening protocols.

#### Beyond Data Collection: Scheduling and Workflow Integration

Once submitted, this form can do more than just collect responses. Use **Paperform's appointment scheduling** to let families book their evaluation directly within the form. Connect to your calendar to show real-time availability and reduce back-and-forth coordination.

With **Stepper (stepper.io)**, Paperform's AI-native workflow builder, you can automatically route submissions to the right clinician based on age group or concern type, send intake summaries to your EMR system, trigger reminder emails before appointments, and notify your team when urgent cases require immediate attention. This keeps your practice organized and ensures no family falls through the cracks while waiting for their assessment.

#### Secure, Compliant and Family-Friendly

Parents and guardians need to trust your intake process with sensitive information about their child. Paperform is **SOC 2 Type II compliant and GDPR-ready**, with secure file uploads for school records, IEPs, or previous evaluations. The form's approachable, document-style layout feels less intimidating than traditional medical forms, helping families provide thorough, accurate information.

Whether you're a solo practitioner or part of a larger clinic network, this template adapts to your workflow, integrates with your existing tools, and helps you deliver compassionate, evidence-based care from the very first touchpoint.

Get started with this template and transform your autism screening intake into a professional, efficient process that supports families and your clinical team.
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