Children with Fetal Alcohol Spectrum Disorder (FASD) experience lifelong neurocognitive, behavioural, and physical challenges from prenatal alcohol exposure. This report profiled 1,055 Albertan children (3 to 12 years old) in 2005/06 that were diagnosed with fetal alcohol spectrum disorders between 2005/06 and 2010/11. Analyses examined these individuals’ sociodemographic characteristics and public service use patterns from 2005/06 to 2010/11. This report found that (1) 49% of profiled children required child intervention (to protect against abuse, neglect, or another risk) and also at least one other support service during the report period, (2) the overall pattern of support service delivery was similar for children with FASD throughout Alberta, and (3) a greater percentage of children diagnosed with FASD accessed mental health services and failed to meet or exceed educational expectations than those without FASD. These findings provide policy-relevant evidence that collaborative programming, resourcing, and planning may enhance service delivery and improve outcomes for children with FASD in Alberta.