LSR7 Parents as Teachers

08/31/22 DIAL-4 Developmental Screening Request

This form is used to schedule your child for a FREE Developmental Screening through the Lee's Summit R-7 Parents as Teachers Program.  The screening will be held at the Great Beginnings Early Education Center at 905 NE Bluestem Drive, Lee's Summit, MO 64086.

A time slot is equal to one screening appointment per child.  If you are scheduling for more than one child, please create more than one time slot (appointment). We have encountered issues for families when entering their address.  (Please note, if you live in Lees Summit, do not include an apostrophe in Lees).

Eligibility Requirements:

  • Child must be at least 3 years of age and not currently eligible for kindergarten.
  • You must live within the Lee's Summit R-7 School District boundaries. Click here to verify.
  • Please allow and be available for a duration of approximately 1.5 - 2 hours to complete the screening.
  • You must provide proof of residency via an electric, water or gas utility bill dated within the last 30 days. If supplying an electric bill, please provide both sides.  A service address must be visible.

Please note A completed Enrollment Form and Health History Form for your child will be emailed to the email you enter at least 1 week prior to your appointment.  Please complete both forms within 24 hours of your screening appointment. Please be aware that there will be 2 additional forms for you to complete when you arrive that are not available online.

Please call 816-986-2486 with any questions.  If you need to cancel or reschedule your appointment, please log back into Sign Up Genius and update your slot.  If you or anyone in your household, at the time of your screening appointment, have been exposed to COVID-19 or are feeling unwell, you will need to reschedule your appointment.

Thank you!  We look forward to seeing you and your child on your scheduled date and time.

Date: 08/31/2022 (Wed.)

Location: Great Beginnings Early Education Center
905 NE BLUESTEM DRIVE, Lees Summit, Missouri 64086

Created by:   LSR7 Parents as Teachers
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DIAL Screening (4)

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DIAL Screening (4)

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DIAL Screening (4)

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