Use this service to submit a AQ-50 questionnaire for a child aged between 4 – 11 years old, to allow the surgery to see if they need to be referred for further autism assessments.
You can use this service if you:
- are registered at the surgery
- are completing on behalf of a patient aged between 4 – 11 years old
- have been invited to do so
Before you start
We’ll ask you for:
- your first and last name, date of birth, sex, postcode, email and phone number
- if applicable, the details of the person you are completing the form on behalf of
You can also phone us on Wychbury Medical Centre 01562 547300 or Cradley Road Medical Practice 01562 547300 or Chapel House Surgery 01562 547300 or visit the surgery.