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Early Childhood Screening

Children between the ages of 3.5 and 4 years old, who live in District 196, need to participate in an early childhood screening. It takes approximately 20-40 minutes to complete and gather required paperwork/forms and information for this appointment. Therefore, we ask that parents/guardians complete the following documents PRIOR to a child's appointment.

What is Early Childhood Screening?
Important information for parents and families

There will be limited time to fill out paperwork/forms during your child's appointment. Four completed forms and 1 document will be needed for this appointment:


  1. Parental Consent - Early Childhood Health and Developmental Screening
  2. Child History Questionnaire
  3. Registration for Early Childhood Screening
  4. Social-Emotional Questionnaire (Choose the correct one based on your child’s age)


Please bring verification of your child’s age, such as a birth certificate or passport.


Only fill out and submit the census form below if asked to by screening staff when appointment was made via phone or email:

Student and Census Information Form

Father and Young Daughter playing

Find us and register for an appointment

District 196 Early Childhood Screening - 14301 Diamond Path West

Appointments can be scheduled online 

Additionally you can email or call us to register if you are having difficulty with our online scheduling:

First available appointment time is 8 a.m. and last time is 3:00 p.m. Some evenings and one Saturday per month are also typically available.

Visit us at our Early Childhood Screening offices, located at:
14301 Diamond Path West, Apple Valley, Minnesota 55124


Teacher working with students in classroom-HERO image for Early Childhood Screening