BBB Certified
Language
Referral for a Language Disorder
Directions:
Review each item if your child does not demonstrate a particular skill at a given developmental age, then print out this and check each option that applies:
Referral to a Speech-Language Pathologist is necessary when:
___ By AGE 1, Does not respond to music and/or singing
___ Cannot understand simple questions
___ Does not look at familiar people when named
___ Does not maintain eye contact, attention to speaker
___ Little interest in social interaction, language, or pointing
___ Does not say mama or dada
___ Does not begin to imitate words
___ Does not say 1-2 words imitatively
___ By AGE 2, cannot identify basic body parts
___ Cannot understand simple commands, like give me without gestures
___ Does not demonstrate action words (i.e., eat)
___ Does not speak using 1-2 words at a time
___ Does not use new words frequently, at least 50 words
___ By 2-1/2, Does not use short sentences
___ Does not respond to hello and bye consistently
___ By AGE 3, Does not relate experiences verbally
___ Does not state first/last name
___ By AGE 4, does not use short but grammatically correct sentences
___ Does not understand comparisons or make basic inferences
___ By AGE 5, does not use complex sentences
___ Does not explain how to do something
___ Does not respond to why questions with a reason
___ Does not understand complex directions
___ Does not understand concepts
___ School-Age Receptive Language - Exhibits difficulties understanding teachers instructions and/or following directions
___ Exhibits difficulties in reading comprehension across subjects
___ Exhibits difficulties in mathematical reasoning, learning numbers, and/or concepts and applications
___ School-Age Expressive Language - Difficulties in oral and/or written expression including appropriate
use of words, grammar, and underlying meaning
___ Difficulties in basic reading skills, including the ability to decode letters and words and attain information
___ Difficulty interpreting and applying abstract written information
The above items can be used as a basic screening tool to determine if your child needs services. This checklist can be brought to the evaluation as part of the case history intake information. If you checked several items in your childs category or if there are gaps in development, please contact the uPs Therapy office to schedule an evaluation at (864) 438.0990. Insurance is accepted for most companies.