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-- I agree with everyone here -- get him evaluated now. You don't

need the pediatrician's referral to do it. My son is 26 mo. with only mama,

dada, and a small range of sounds, but eager to communicate. When my

pediatrician said again at the 2-yr check-up to " wait and see " , I went home

immediately and pulled out the yellow pages to find a speech pathologist.

There are two ways to go about it, and I would consider doing both at the

same time to get second opinions. One is to call the speech pathologists

(may be listed under speech therapy as SLP's) and ask if they work with very

young nonverbal children -- I found that the ones who work with kids usually

work with older kids and the first I tried clearly was not good with little

ones. I was charged $80 for the evaluation. The other approach is to

find your county's " Early Intervention " program, which provides free (and in

my case, very thorough) evaluations of speech, fine and gross motor skills,

cognitive ability, social/behavioral, and self-help skills. It is a

federally funded program for children up to the age of three. The name

seems to vary from state to state and county to county. They will have

either therapists on staff, or more likely, a list of good private ones that

work with toddlers and provide service in your home. Many programs even

provide free or subsidized therapy -- our program bases cost of services on

family income. To find yours, see

http://www.nectas.unc.edu/contact/ptccoord.html which lists the state

coordinators for all the states. Call your state coordinator to find your

local program, and call them to refer your child. They have legal

requirements that they meet with you within 10 days of your call, and do the

evaluation within 30 days, so there is no undue bureaucratic delay. It was

a worthwhile step for me, because they identified motor skill and cognitive

delays that we were not really aware of. They recommended great therapists

and we had him in therapy within 4 weeks of my first call. I found their

therapists to be better than the ones I found through the phone book,

because they specialize in little ones.

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