The Autism Care Questionnaire (ACQ) is a brief survey completed by a patient or the patient’s caregiver prior to a planned or unplanned medical visit.  The ACQ addresses the non-medical needs (communication methods, environmental adaptations, sensory preferences) of the patient with autism in acute care settings. Having a plan in place will help the administrative staff and medical team handle the unique needs of the individual.   The ACQ is useful for pediatric and adult patients.

Once completed, the ACQ should be printed and shared with healthcare providers.  For patients of MGH/MGHfC, the ACQ can be uploaded into the electronic medical record within 5 business days from the date of submission.  Urgent requests to upload an ACQ can be made by emailig us at LurieCenter@partners.org.

 Please see our flyer for more information.

Please follow the link to complete the ACQ through our secure, online portal:  

Autism Care Questionnaire

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