South Central BOCES Special Education Department
Developmental Screening Registration

Thank you for contacting South Central BOCES
Free Developmental Screenings

Please register your child by filling out the registration form and emailing it to us. If you like, you can call us with your registration information. We look forward to scheduling an appointment soon.

• Save this form to your computer (Right-Click on the link below and then Left-Click on "Save target as ...")
• Fill out the form and save the changes
• E-mail the form to Screening@sc-boces.org or call us with the information
• For more information please contact the South Central BOCES Early Childhood Coordinator at 719-647-0023 x124

Developmental Screening Registration form (MS Word document)

NOTE: email is typically not secure so please do not include any privacy related information