Common Referral Criteria for a Pediatric Speech-Language Evaluation

Birth to 2 Years:

  • When a parent is concerned about speech or language development
  • If the child is not talking at all by age 18 months
  • If there are medical or developmental concerns that may affect speech
  • If the child is embarrassed by his/her speech at any age

At Age 2 if:

  • The child has a hearing impairment and/or does not respond to quiet sounds or voices
  • The child has a cleft palate or excessive nasal quality in voice
  • The child does not begin combining words by age 2 (e.g. “more milk”)
  • The child exhibits limited vocabulary development (e.g. uses less than 50 words)

At Age 3 if:

  • The child is nonfluent or thought to stutter for longer than six months
  • There is an absence of sentence structure
  • Speech is difficult for family to understand
  • There are many omissions of beginning and ending consonants
  • Speech is limited to echoing of other’s statements, songs, rhymes, etc.

At Age 4 if:

  • Word endings (e.g. “ed” or “ing”) are consistently dropped or used inconsistently
  • Communication skills are inadequate for interaction in school environment
  • The child has difficulty answering “wh” questions
  • The child is not demonstrating correct word order for basic sentences

At Age 5 if:

  • The child is noticeably dysfluent, or parents express concern
  • Hoarse, harsh or unusual voice quality
  • Mispronounces any sounds
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Parent Testimonials
As a parent of a child with autism, I've always wanted him to be able to create meaningful friendships with kids his age. From the first time my son walked into Summit Pediatric Therapy, he was made to feel warm and welcome. His pediatric therapists worked tirelessly to help him develop the skills to start creating friendships. We are thankful for the life skills they helped him develop.
Summit Pediatric Therapy
2018-07-09T15:29:05-06:00
“Provider of Pediatric Speech, Occupational, Physical & Feeding Therapy to patients throughout Aurora, Centennial, Denver & Littleton”
As a parent of a child with autism, I’ve always wanted him to be able to create meaningful friendships with kids his age. From the first time my son walked into Summit Pediatric Therapy, he was made to feel warm and welcome. His pediatric therapists 
This letter was provided to Speech-Language Pathologist, Tara Lujan, MA, CCC-SLP

Summit Pediatric Therapy
2019-07-10T10:52:16-06:00
“Provider of Pediatric Speech, Occupational, Physical & Feeding Therapy to patients throughout Aurora, Centennial, Denver & Littleton”
This letter was provided to Speech-Language Pathologist, Tara Lujan, MA, CCC-SLP
Alex Bresler, MA, CCC-SLP is amazing. Lauren loves her and she has been so patient with her and really worked hard to build a positive relationship.
Summit Pediatric Therapy
2019-06-13T09:17:41-06:00
“Provider of Pediatric Speech, Occupational, Physical & Feeding Therapy to patients throughout Aurora, Centennial, Denver & Littleton”
Alex Bresler, MA, CCC-SLP is amazing. Lauren loves her and she has been so patient with her and really worked hard to build a positive relationship.
Maggie Henrksen, MA, CCC-SLP is amazing and extremely professional and proactive. My son loves going to talk with each week. Both the school and I have seen great progress with my son!

Very Happy - Thank you!!
Summit Pediatric Therapy
2019-06-13T08:37:52-06:00
“Provider of Pediatric Speech, Occupational, Physical & Feeding Therapy to patients throughout Aurora, Centennial, Denver & Littleton”
Maggie Henrksen, MA, CCC-SLP is amazing and extremely professional and proactive. My son loves going to talk with each week. Both the school and I have seen great progress with my son! Very Happy – Thank you!!
Claire Beynon-Powell, MS, CCC-SLP is great with my 13 year old. She respects him and never talks down to him.
Summit Pediatric Therapy
2019-06-13T08:40:37-06:00
“Provider of Pediatric Speech, Occupational, Physical & Feeding Therapy to patients throughout Aurora, Centennial, Denver & Littleton”
Claire Beynon-Powell, MS, CCC-SLP is great with my 13 year old. She respects him and never talks down to him.
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