Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F)

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About this scale and references
Reference information · Official-form reference
Last content update
2026-10-26
Clinical review
Not independently reviewed
Source jurisdiction
See individual sources
Coverage
Official-form reference
What changed in this edition
FieldInstrument context
VersionM-CHAT-R/F; revised screen with required follow-up where indicated
PopulationChildren/adolescents; verify age range for selected form
RespondentParent with follow-up interviewer
PurposeScore interpretation for Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F)

Administration

Use the official age-appropriate M-CHAT-R/F and its two-stage workflow. Developmental surveillance remains necessary even when a screen is negative.

Scoring method

Apply the original reverse key. An initial total of 3–7 requires the corresponding follow-up questions; a first-stage count alone cannot finish that pathway. The official algorithm separately handles totals 0–2 and 8–20.

Interpretation & limitations

  • The screen identifies a need for developmental assessment; it does not diagnose autism.
  • A follow-up interview is an essential part of the intermediate-score pathway.
  • This public page does not reproduce the protected questions or distribute an electronic adaptation. The developer distinguishes private-practice EHR use from public electronic distribution.
References · 1
  1. Primary scoring / instrument reference

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