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When to Request for a Speech-Language Evaluation

if this describes your child, a request for a speech and language evaluation may be appropriate:

  • Does not turn quiet or smile whenever he/she is spoken to (0-3 months)

  • Does not seem to notice sounds in the environment (4-6 months)

  • Cannot vocalize excitement and displeasure (4-6 months)

  • Cannot respond to simple requests or directions such as “no” or “come here” (1 yr. old)

  • Cannot recognize words of common items (1 yr. old)

  • Does not produce beginning or ending sounds including “p,” “b,” and “m” (1-2 yrs. old)

  • Does not point at pictures when named (1-2 yrs. old)

  • Does not say new words each month (1-2 yrs. old)

  • Does not seem to understand verbal instructions (2-3 yrs. old)

  • Has difficulty understanding simple conversations

  • Others have difficulty understanding his/her speech

  • Does not talk during pretend play, like saying “beep-beep” when playing cars (2 yrs. old)

  • Has difficulty answering simple questions (3-4 yrs. old)

  • Repeats words or syllables frequently (Stuttering) (4 yrs. old)

  • Does not answer the following questions:

Who, where, what (1-2 yrs. old)

Why (2-3 yrs. old)

When, how (3-4 yrs. old)

  • Cannot put several words together using simple grammatical structures

2 words (2 years)

3 words (3 years)

4 words (4 years)

  • Does not understand basic concepts, such as opposites (2-3 years) or prepositions (3-4 years)

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