Primary Care Physician (PCP) is notified ASAP about the evaluation result and service plans in order to have a follow-up with the family.

1
Primary Care Autism Screening Referral Process
for Infants and Toddlers

Notes Autism specific evaluations and/or
confirmation of an autism diagnosis are
influenced by the age of the child and findings
younger children and those with less significant
symptoms are more difficult to diagnose.
Primary Care Physician (PCP) is notified ASAP
about the evaluation result and service plans in
order to have a follow-up with the family. PCP
shares results of Audiological Evaluation and
other referrals (if any) with the CDSA as soon as
results are reported.
2
Referral Flow Chart Legend Notes

• ACTION STEPS
• As Primary Care Practices begin screening for
  autism per AAP recommendations
• PCPs
• Discuss CDSA resources with CDSA staff
• Discuss other community resources with community
  partners, including CDSA
• Facilitate communication between primary
  practice, other diagnostic referrals, and CDSA
• - CDSAs
• Discuss CDSA resources with community PCPs
  (e.g., possibility of audiological evaluation)
• Assure feedback to referring PCPs regarding
  eligibility of child. (Complete ROI if it has
  not been obtained at the primary care practice.)
• Continue communication regarding additional
  assessment as needed

• Questions of autism for a specific infant or
  toddler
• The AAP recommends simultaneous referral for ASD
  evaluation, EI services, and Audiology
  evaluation.
• leads to a referral to your Childrens
  Developmental Services Agency (CDSA)
• leads to a referral for an audiology evaluation
• may lead to a referral to a DB pediatrician,
  geneticist, or neurologist for assistance with an
  etiologic workup and/or a search for coexisting
  conditions if indicated.
• When referring, include
• Diagnosis of autism if you have made it
• Copies of childs MCHAT
• Additional information as appropriate
• Copies of familys release of information for
  communication from and to pediatrician/CDSA

CCNC