Early Childhood Screening Forms

Early Childhood Screening Forms

Thank you for registering your child for their Early Childhood Screening appointment.

Please call 952-928-6774 or email nelson.toni@slpschools.org with questions.

  • Birth certificates and immunization forms are recommended but not required.
  • A passport/visa or other official US Court/government document with child’s full legal name and date of birth can be used if a birth certificate is not available
  • Packets will be mailed to your home two weeks in advance of your appointment.
  • If you register within two weeks of your appointment, please view and print the forms listed below.

Parents will also need to fill out a few forms in-person that we are not able to put online due to copyright restrictions. Please allow 10-15 minutes to complete these additional forms before your appointment time.

Need to request a new copy of your child’s birth certificate? No problem!

  • Minnesota Birth Certificates – Visit the Southdale Service Center (1224 Southdale Center, Edina 55435).
  • Online – Visit www.hennepin.us or call 612-348-8240 for more information.
  • Out of State Birth Certificates – If your child was born out of state, visit www.vitalchek.com to obtain a birth certificate.

Forms to download and complete. Please bring all forms with you to your child’s Early Childhood Screening appointment.