The Medical Diagnosis
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The Medical Diagnosis

The medical diagnoses of FASD include:

Fetal Alcohol Spectrum Disorder with Sentinel Facial Features

Fetal Alcohol Spectrum Disorder without Sential Facial Features

These diagnoses need to be made through a multidisciplinary assessment.  The Waterloo Region FASD Diagnostic Team uses Canadian Guidelines for Diagnosis  and emerging best practice. Click here for the Canadian Guidelines for Diagnosis.

Each assessment includes a psychological assessment, speech and language assessment, occupational therapy assessment and a physical examination by a pediatrician. 

Brain Domains

Following is a list of the central nervous system domains that are assessed:

Motor Skills




Adaptive Behaviour

Academic Achievement


Executive Functioning


Affect Regulation

Facial Features

Short Palpebral Fissures (2 or more standard deviations below the mean)

Smooth of Flattened Philtrum (4 or 5 on a 5 point Likert scale)

Thin Vermillion border of the upperlip (4 or 5 on a 5 point Likert scale)

FASD ONE - link to diagnostic clinics in Ontario 

Note: The Waterloo Region FASD Diagnostic Team is made up of professionals from agencies across Waterloo Region as well as private practitioners.  The time of these professionals is donated in kind to the diagnostic team.  Currently, the team does not receive formal government funding.


Astley, S. J. (2004). Diagnostic guide for Fetal Alcohol Spectrum Disorders:  The 4-digit diagnostic code (3rd Ed.). Seattle, WA: University of Washington.

Chudley, A. E., Conry, J., Cook, J. L., Loock, C., Rosales, T., & LeBlanc, N. (2005). Fetal

Alcohol Spectrum Disorder: Canadian guidelines for diagnosis. Canadian Medical Association Journal, 172(5), S1-S21. Available at

Developmental Resource Centre Waterloo RegionSunbeam Centre