Enrollment Forms

Enrollment Packets

Please click on the link below to download our enrollment packet.  Please fill out all forms completely and call 323-846-4880 to make an appointment to drop of your completed enrollment packet. Hope to see you soon! 

PCC ENROLLMENT PACKET

Ages and Stages

ASQ-3:

The Ages & Stages Questionnaires®, Third Edition (ASQ®-3) pinpoints developmental progress in children between the ages of one month to 5 ½ years. Its success lies in its parent-centric approach and inherent ease-of-use—a combination that has made it the most widely used developmental screener across the globe.

ASQ-SE:

Early identification of social-emotional challenges can make all the difference to a young child. The proof is undeniable: the earlier a behavioral concern is identified, the greater the chance a child has for reaching his or her full potential in life. This is the driving force behind Ages & Stages Questionnaires®: Social-Emotional, Second Edition (ASQ®:SE-2)—a parent-completed, highly reliable system focused solely on social and emotional development in young children. Accurately identifying behavior through ASQ:SE-2 paves the way for next steps—further assessment, specialized intervention or ongoing monitoring, for examples—to help children reach their fullest potential during their most formative early years.

English ASQ-SE Forms

Spanish ASQ-SE Forms