Self Administered Forms (Mother)

The Study to Explore Early Development (SEED) - Phase 3 (Modified for COVID-19 Impact Assessment)

Attachment 8.k. Yellow FolderInstr_Things to keep SEED 3_ASD POP

Self Administered Forms (Mother)

OMB: 0920-1171

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Attachment 8.k.



Study to Explore Early Development


Yellow Folder – Materials to Keep






  1. Clinic Visit Prep Guide: The guide will give you a brief overview of the different parts of the in person visit and how to prepare for each.


  1. Biological Sampling FAQ: This has answers to frequently asked questions (FAQ) about biologic samples.


  1. Picture Story: The picture story will help you and your child prepare for the clinic visit. It includes pictures and descriptions of each event in which your child will participate. Please read it to your child before you come for the clinic visit.


<Optional 4th item:

  1. Medical Records Requests Information Sheet: This will give you some information about the medical records that, with your permission, we would like to request.>



Version 9-2015 Page 1 of 1


File Typeapplication/msword
File TitleStudy Start Yellow FolderInstr 2007
Authoraratchfo
Last Modified ByJohnson-James, Treana (CDC/ONDIEH/NCBDDD) (CTR)
File Modified2016-10-03
File Created2015-09-18

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