Health Provider Support Documents

New Patient Worksheet: This document is an example of an interview a clinical geneticist may conduct with you when assessing a patient. This document is blank and may be printed out and completed beforehand or simply used as a reference to try to gather as much vital information as possible prior to your first visit with a clinician.

New Patient Worksheet (annotated): This is the same as the New Patient Worksheet; however, this version has notes explaining each of the sections of the assessment.

What Every Clinician Should Know About FAS: This is a document you can print out and share with a physician or other care provider. Not all doctors will be aware of all aspects of FAS or ARND and having this document, produced by the National Institutes of Health, available may help explain your concerns.

Identification of FAS, ARBD, and ARND: The differences between FAS, ARND, ARBD, and FAE are described in this document, along with a chart of how common characteristics map to diagnoses.

Alcohol Exposure Screening for Newborns: The alcohol exposure instrument can also be shared with a care provider. Produced by the National Institute of Health, it provides a reference for some of the common features a doctor should look for when deciding to diagnose a patient or refer them for further testing. There are three versions, one for each of three age levels: newborns, toddlers, and older children.

Alcohol Exposure Screening for Preschoolers: The alcohol exposure instrument can also be shared with a care provider. Produced by the National Institute of Health, it provides a reference for some of the common features a doctor should look for when deciding to diagnose a patient or refer them for further testing. There are three versions, one for each of three age levels: newborns, toddlers, and older children.

Alcohol Exposure Screening for Toddlers: The alcohol exposure instrument can also be shared with a care provider. Produced by the National Institute of Health, it provides a reference for some of the common features a doctor should look for when deciding to diagnose a patient or refer them for further testing. There are three versions, one for each of three age levels: newborns, toddlers, and older children.

FAS Personality and Learning Characteristics: This document describes some of the most common personality and learning characteristics of children affected by alcohol prenatally.

Much of the information in these documents is drawn from publications of the National Institute on Alcohol Abuse and Alcoholism, especially document #99-4369, which may be ordered for free from NIH (http://www.niaaa.nih.gov/publications/FASguides.htm).

The entire document is also available on The Academic Edge's The FAS Multimedia Guide, a CD-ROM for supporting care providers in understanding and seeking a FAS/ARND diagnosis.

Related Links for Health Provider Information

The National Library of Medicine's Medlineplus is perhaps the single best starting point for more information about fetal alcohol syndrome. The page contains reports, images, general overviews, and statistics, much of which is available in both English and Spanish.