Parental Consent to Screen and/or Assess Form
Pathways Pediatric Services is a private business working with multiple Early Childhood Services Operators (ECS).
It is the mission of our ECS partners to responsibility administer funding from Alberta Learning to help children develop age-appropriate skills to encourage later school success in areas such as talking, listening, playing, moving, learning, and participation. We work closely with our families and ECS programs to create developmentally appropriate and measurable goals that are tailored to each child’s strengths and needs.
Screening: A brief “snapshot” of your child’s skills in a particular area. Therapists use a standardized screening tool to determine if any further action(s) should be taken, like an assessment.
Assessment: A method to evaluate and diagnose a problem(s) in a particular area of need.
Alberta Education Funding Programs:
Program Unit Funding (PUF)
Alberta Education provides Program Unit Funding (PUF) to assist children between the ages of 2 years, 8 months and less than 6 years of age (as of September 1 of the school year) with severe delays within a school or community ECS program.
Mild-Moderate Funding
Alberta Education provides Mild-Moderate funding to assist children between the ages of 3 years, 8 months and less than 6 years of age (as of September 1 of the school year) with mild to moderate delays within a school or community ECS program.
Pathways and our ECS partners create flexible, goal-focused programs to support these children in experiencing success within their family’s chosen ECS program.
Note: Your child must be a minimum of 2 years, 8 months as of September 1 of the school year in order to access Alberta Education funding. If your child is not 2 years, 8 months please do not complete this form – give us a call regarding private services 403-455-4072
Parental Consent to Screening and/or Assess Form
Your agreement of this screening and/or assessment is acknowledged by signing this parental consent form. Your signature indicates:
- I consent to the participation of my child in a screening and/or assessment of their speech-language (ex: speech sounds, expressive language, etc.) and/or occupational therapy (ex: fine motor, sensory, etc.) skills.
- I understand that assessment results may be shared with preschool staff and Pathways working partners as it pertains to my child’s programming.