Autism Treatment Evaluation Checklist Current

Information

Autism Treatment Evaluation Checklist (ATEC)

Bernard Rimland, Ph.D. & Stephen M. Edelson, Ph.D.
Autism Research Institute | 4182 Adams Avenue, San Diego, CA 92116 USA | fax: (619) 563-6840 | www.autism.org

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Name of Child (Last, First)

Sex

Age

Date of Birth (format: MM/DD/YYYY, Example: 09/25/1998) This question requires a valid date format of MM/DD/YYYY.

calendar

Diagnosis:

Asperger syndrome
Autism
Fragile X
Pervasive Developmental Disorder
Other - please explain Please enter an 'other' value for this selection.
No diagnosis