Speech & Language
Consultations
Fees: $188 (60 minutes).
- Consultations refer to a review of your child’s previous reports, informal observation of your child, talking with you about your concerns, and providing input as to the next best course of action.
- There are no reports provided with a consultative appointment.
- This is NOT an assessment so we cannot give you information about your child’s percentiles, levels, or even put together a complete treatment plan as a result of a consultative appointment.
- Your child will still need an actual assessment for us to answer those kinds of questions if there has not been one already.
- Should you schedule a full (comprehensive) assessment we will deduct the consultation fee from the total fee for the assessment.
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Evaluations
Articulation Screening: (pronouncing sounds) Informal, without a report for simple cases (only a few sound errors):
Fee: $150
What do I look for?
- How your child produces speech during normal conversation and play
- How your child’s mouth is functioning during the speech process, being careful to note any physical impediments to producing normal speech
- Make decisions as to whether or not your child is a good candidate for therapy or should wait until older
- If I feel that your child needs further assessments, then I will apply the $150 towards the necessary assessments
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Articulation assessment only; with the oral-motor exam, formal report & review
Fee:$299
Includes the following:
- Review of records and previous reports, administration of informal and formal articulation measures
- Oral-motor exam; written report (typically about 3 pages) including recommended goals and therapy techniques.
What do I look for?
- Observe your child’s speech in a variety of contexts
- Note and observe your child’s intonation
- Rate of speech production
- Breath support
- Ability to chew, swallow and drink correctly
- The movement of the oral muscles both during speech and at rest
- Physical features (enlarged adenoids, restricted frenulum, dental issues) that may impede normal speech
- Look for the presence of interfering hypo or hyper oral sensory issues that are present.
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Comprehensive assessment for speech/language delays for children: (birth – 4:11 years)
Fee: $750
Includes the following
- Review of previous records and patient history,
- meeting with the child for approximately 2 hours (3 hours maximum) total over the course of about 3-4 sessions for 45 minutes or so each
- administration of informal and formal tests (if the child is capable)
- scoring and interpretation of reports, speaking with outside professionals who work with the child if requested to a maximum of 30 minutes total
- written report (typically 5-7 pages) including recommended goals and course of treatment
- 45-minute review of the report with parent(s).
What do I look for?
- How and when does the child vocalize?
- What kinds of sounds or words is the child producing and under what circumstances?
- Is the child using other means to communicate, such as signing or gesturing?
- Is there inflection to indicate differences between commenting and asking?
- What is the child’s articulation pattern?
- Are there issues that may suggest a more global delay or autism spectrum disorder?
- How are your child’s attention span and play behaviors?
- Does your child understand what is said? Are they pointing to things?
- Does your child have oral weaknesses, physical impediments or difficulty with motor planning that may be inhibiting speech development?
- How does your child interact with the parent and the examiner?
- Vocabulary development
- Comprehension of language at the word, sentence and story level; Can the child point to objects or pictures? Attend to an adult? For how long?
- Use of language: How is the child using language and when? Phrases or sentences? Does the child use age-expected grammar?
- Articulation
- If indicated, an oral-motor assessment (for articulation disorders)
- Voice & Fluency screen
- Pragmatic (social language use) including eye contact, initiation, reciprocal communication, and joint attention
- Play and interactive skills
- For children with significant cognitive and communication deficits:
- Use of signs, gestures or alternative communication modality.
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Comprehensive assessment for speech/language development for children ages 5:0 – 17:11 years without auditory processing component:
Fee: $1275
Includes the following:
- review of previous records and patient history,
- meeting with the child for approximately 4-5 hours total over the course of about 4-6 sessions for 45 minutes or so each;
- administration of informal and formal tests (if the child is capable)
- scoring and interpretation of reports
- speaking with outside professionals who work with the child if requested to a maximum of 30 minutes total;
- written report (typically 8-10 pages) including recommended goals and course of treatment
- 45-minute review of the report with parent(s).
What do I look for?
- Vocabulary development
- Language processing and attention to auditory stimuli (if we see issues we may recommend doing further auditory assessment)
- Sentence construction in a variety of contexts, including retelling a story, describing, explaining, and conversational skills
- Grammar
- Comprehension of language at the word, sentence and story level
- Word retrieval
- Articulation
- Attending behaviors
- If indicated, an oral-motor assessment or screening (for articulation disorders)
- Voice & Fluency screen
- Pragmatic (social language use) including eye contact, initiation, reciprocal communication, and joint attention; inference;
- Play and interactive skills
- For children with significant cognitive and communication deficits:
- Use of signs, gestures or alternative communication modality
- If cognitively and developmentally age-appropriate:
- Use of language for higher-order tasks, including interpreting humor, sarcasm, inferential language
- Written language and an oral reading sample
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Comprehensive speech/language evaluation with auditory skills battery: (ages 6:0 – 17:11)
Fee: $1575
Includes the following:
- Review of previous records and patient history,
- meeting with the child for approximately 4-5 hours total over the course of about 4-6 sessions for 45 minutes or so each;
- administration of informal and formal tests (if the child is capable)
- scoring and interpretation of reports
- speaking with outside professionals who work with the child if requested to a maximum of 30 minutes total;
- written report (typically 8-10 pages) including recommended goals and course of treatment
- 45-minute review of the report with parent(s).
What do I look for?
(In addition to the above evaluations; with the auditory skills, I will administer an assessment that will look at the following domains of auditory processing)
- Auditory memory for digits, words, and sentences
- Filtered Speech, Background noise, and dichotic listening tasks
- Phonemic Awareness (sound position identification, synthesis, segmentation, rhyming, etc.)
- Auditory discrimination