Inclusion Criteria:  Diagnosis of moderate to severe hypoxic ischemic encephalopathy as defined based on Sarnat criteria 35 Received therapeutic hypothermia Abnormal brain MRI (deep grey matter, watershed or mixed patterns of injury) in the first seven days of life Greater than or equal to 34 weeks gestation Patients are followed by the Neonatal Follow-Up Clinic at SickKids Abnormal GMA (abnormal or absent fidgety movements) at 12 weeks of age  Exclusion Criteria:  Known or high suspicion of a genetic syndrome Residence post-discharge will not be with biological parents Limited fluency in English No internet access