Primary Care Clinical Pathway for
Autism Screening and Referral

ASD Screen NEGATIVE and
No Provider or Parental Concerns
ASD Screen POSITIVE and/or Provider/Parental Concerns
Continue ongoing developmental surveillance and screening during well-child visits
Recommended to Complete All Below
  • Refer to Early Intervention (< 5 years) or School District (5-18 years)
  • Refer to Autism specialist for diagnostic testing
  • Consider additional assessments:
    • Audiology evaluation (for children with language delay or inattention to language)
    • Vision assessment (for children who are visually inattentive, have stereotypical behaviors such as eye poking or close visual scrutiny, or do not make eye contact).
Schedule/complete follow-up appointment in one month after screening in Primary Care
Posted: September 2015
Revised: August 2016, October 2018, November 2020
Authors: S. Levy, MD, MPH; J. Miller, PhD; R. Prasad, MD; M. Gerdes, PhD; L. Brown, MD; A. Bennet, MD;
R. Eikov, CRNP; E. Everly, MD; A. Kratchman; W. Guthrie, PhD; A. Rosen, MD; K. Wallis, MD, MPH