Any of the following signs or symptoms may suggest the
need for speech-language evaluation:
-
 18 months of age or older and not speaking
- 24 months of age or older and still speaking in single
words
- 3 years old and not speaking in sentences that others
can understand
- 4 or 5 years old and sometimes difficult to understand
- A child of any age who doesn’t understand and
follow directions as well as his peers
- Poor grammar and sentence structure compared to peers
- Limited vocabulary compared to peers
- A school-age child who is socially inappropriate, doesn’t
know how to carry on a conversation with friends
- A child age 6 or older who cannot pronounce /r/ , /s/,
or other phonemes
- A child age 5 or older who is struggling in school,
especially with reading and reading comprehension
- Frequent stuttering at any age
- Chronically hoarse, raspy voice quality at any age
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