Screen toddlers for autism spectrum disorder with a trusted, evidence-based assessment form

Early detection of autism spectrum disorder (ASD) is critical for improving outcomes through timely intervention. This Toddler Autism Spectrum Disorder Screening form is built around the M-CHAT-R (Modified Checklist for Autism in Toddlers, Revised)—a validated, widely-used screening tool designed for children aged 16 to 30 months.

Healthcare providers, pediatricians, developmental specialists, and early intervention programs use this form to systematically assess developmental and behavioral markers that may indicate ASD risk. The structured questionnaire captures key observations across social communication, joint attention, repetitive behaviors, and sensory responses, helping clinicians identify children who may benefit from further diagnostic evaluation.

Why Paperform is ideal for autism screening workflows

Paperform makes it easy to digitize clinical screening tools like the M-CHAT-R while maintaining a professional, compassionate experience for families. Instead of handing parents a clipboard with a dense checklist, you can share a mobile-friendly form that guides them through each question with clarity and care.

The form automatically scores responses, flags concerning patterns using conditional logic, and routes high-risk cases directly to your referral coordinator—all without manual data entry. You can embed the form into your patient portal, email it as part of a well-child visit reminder, or share it via SMS for parents who prefer completing it at home.

Use Stepper to automate what happens next: when a child scores above the risk threshold, Stepper can trigger a follow-up email to the family, create a task for your intake team, send the results to your EHR, and even schedule a follow-up developmental assessment—keeping every child on the path to timely support.

Built for pediatric practices, early intervention programs, and child development clinics

Whether you're a solo pediatrician, a multi-site clinic, or a community health program, this template helps you deliver consistent, evidence-based screening that meets AAP guidelines. Families appreciate the clarity and ease of digital forms, and your team benefits from organized, actionable data that integrates smoothly into existing care workflows.

Paperform is SOC 2 Type II compliant and GDPR-ready, giving you the security and data protection families and regulators expect. While Paperform is not HIPAA compliant, it offers robust controls suitable for many screening and intake workflows in healthcare settings that don't require HIPAA coverage.

Start screening smarter, referring faster, and supporting families earlier with a form that works as hard as you do.