Early Childhood Screening
Paul Bunyan Center
3300 Gillett Drive NW
Door #1
(218) 333-8329

In Minnesota, all 3 to 5 year old children are required to complete an Early Childhood Screening to determine if they need additional support or services to prepare them for kindergarten.

Early Childhood Screening is a FREE and simple check of your child’s vision, hearing, height, weight, and development as well as a brief review of health history and immunizations. 

We recommend that children be screened between their 3rd and 4th birthdays.  This helps ensure that all young children are well equipped for learning and that families are aware of resources in the school and community.

The screening tools are designed to provide a snapshot of your child’s motor, thinking, speech and language skills.  This is not an IQ test, an achievement test or comprehensive medical exam.  The results are based on your child’s age at the time of the screening.


CLICK HERE to sign up for your child's Early Childhood Screening Appointment.   
Screenings are held at the Paul Bunyan Center near the Bemidji Airport.

Along with the forms below, please bring a copy of your child's birth certificate and current immunization records to their screening appointment.

Forms to print and complete prior to your child's Early Childhood Screening:

     1. Click here: Screening Consent Form
     2. Click here: Release of Information Form
     3. Click here:  Health History Form
     4. Click here:  Hearing and Vision Worksheet
     5.  Parent Information for completing the ASQ:SE-2
 Please choose the appropriate ASQ form to complete:
     Click here: ASQ:SE-2 for 2 yrs, 9 mo-3 yrs, 5 mo

     Click here: ASQ:SE-2 for 3 yrs, 6 mo-4 yrs, 5 mo

     Click here: ASQ:SE-2 for 4 yrs, 6 mos- 5 yrs, 5 mo

If you prefer, completed forms can be emailed to: