When to Make a SLP Referral for Language Concerns
By 1 year does not:
- Understand simple questions
- Look at familiar people when named
- Maintain eye contact with speaker
- Begin to imitate words
- Say 1–2 words independently
By 2 years does not:
- Identify basic body parts
- Understand simple commands like “give me” without gestures
- Demonstrate action words (e.g., eat)
- Speak using 1–2 words at a time
- Use new words frequently; use at least 50 words
By 3 years does not:
- Use short sentences (e.g., “Car go up”)
- Relate experiences verbally
- State own first and last name
- Count to 3
By 4 years does not:
- Understand comparisons
- Make inferences
- Use short but grammatically correct sentences
By 5 years does not:
- Understand complex directions
- Understand concepts
- Use complex sentences
- Respond to “why” questions with a reason
When to Make a SLP Referral for Speech Sound Concerns
By age 3 years cannot:
- Be understood by family and/or caregivers
- Correctly produce vowels and sounds such as p, b, m, and w in words
- Repeat when not understood without becoming frustrated
By age 4 years cannot:
- Be understood by individuals with whom they do not associate regularly
- Be understood by family and/or caregivers
- Correctly produce t, d, k, g, f
- Be asked to repeat without becoming sensitive
By age 5 years cannot:
- Be understood in all situations by most listeners
- Correctly produce most speech sounds
- Be asked to repeat without exhibiting frustration