FASD Screening & Diagnosis

Screening for FASD is the first step in understanding the effects of prenatal alcohol exposure. The earlier a child gets evaluated & identified as having an FASD, the sooner the family can work together with the child’s teacher and other care providers to support the child’s health and development.

During an FASD evaluation, there are four areas that will be assessed:

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    Growth

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    Facial Features

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    Brain Development and Functioning

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    Exposure to alcohol in utero


The Centers for Disease Control & Prevention (CDC) recommends that a person with prenatal alcohol exposure be assessed by an interdisciplinary team of professionals. The evaluation may include:

• Evaluation of the medical history, including prenatal, birth and early childhood history
• General physical examination
• Evaluation of growth patterns throughout life
• Measurement of facial features
• Psychoeducational evaluation determine learning strengths and weaknesses
• Occupational therapy evaluation to determine motor functions and sensory processing abilities
• Speech and language evaluation to determine expressive and receptive communication abilities

More information on the CDC’s guidelines for referral and diagnosis may be found here.

Diagnostic Centers Specializing in Fetal Alcohol Spectrum Disorders in North Carolina


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    Michael Pesant

    MSW, LCSW, LCAS Coordinator, FASD Clinic
    9 Vanderbilt Park Drive, Asheville, NC 28803
    (828) 213-1051
    Fax – (828) 213-0039

    Michael.Pesant@msj.org

Fullerton Genetics’ FASDs clinic consist of a geneticist, neuropsychologist, social worker, speech language pathologist, and occupational therapist.  Fullerton Genetics is currently the only genetics center in the state that offers an on-site interdisciplinary approach to diagnosing an individual on the spectrum of FASDs.

A referral from the patient’s primary care provider is required for an appointment with the FASDs Clinic.

Referral Request Form/Fullerton Genetics


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    Yasmin Senturias

    MD, FAAP Academic Division Chief, Developmental and Behavioral Pediatrics Division
    Carolinas Healthcare System
    4501 Cameron Valley Pkwy, Charlotte, NC 28211

    (704) 403-2626
    Fax – (704) 403-2699

The following evaluations are required prior to the patient’s initial visit.

• Neuropsychological/psychological evaluations
(with educational achievement testing if patient is a school-aged child)
• Speech-language evaluation
• Occupational therapy evaluation

A referral from the patient’s primary care provider is required for an appointment.

Referral Request Form/Carolinas Medical forthcoming

North Carolina Clinical Genetics Centers


Please contact the genetic centers directly to see if their clinic is evaluating children for Fetal Alcohol Spectrum Disorders, because not all centers provide this service.


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    Asheville - Fullerton Genetics Center

    9 Vanderbilt Park Drive, Asheville, NC 28803 | (828) 213-1051 | FAX – (888) 810-2800
    Click to view website

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    Chapel Hill, University of North Carolina, Dept. of Pediatrics, Division of Genetics and Metabolism

    University of North Carolina, CB 7487, Chapel Hill, NC 27599-7250 | (919) 966-4202
    Click to view website

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    Durham, Duke University Medical Center, Dept of Pediatrics, Division of Genetics

    P.O. Box 3528, Durham, NC 27710 | (919) 684-2036
    Click to view website

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    East Carolina University, School of Medicine, Dept. of Pediatrics, Division of Genetics

    Brody Building | 7000 Moye Blvd, Greenville, NC 27858-4354 | (252) 744-2525
    Click to view website

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    Wake Forest University, School of Medicine, Department of Pediatrics, Medical Genetics

    Medical Center Boulevard, Winston-Salem, NC 27157 | (336) 713-7573
    Click to view website