Reply to Should we get a speech eval and if so, where?

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[quote=Anonymous]DS is 4.5 years old and in private Pre-K/daycare.  He has an amazing vocabulary and can be easily understood by everyone (family and strangers).  However, he has several articulation issues:

"Th" is an "f" or "d" sound, depending on the word -- I want dat;  This finger is my fumb.

"L" and sometimes "Y" are a "w" sound.  This is the color Wehwoh.

"R" is hit or miss.

He does not lisp, at all.

Recently, I've been working with him, asking him to repeat words and talking about tongue placement, with some success.  If he takes his time and is repeating me, he can say words with these letters reasonably well, but not perfectly.

He has always had issues with his mouth -- could not latch to BF, even after we had his frenulum clipped, he didn't learn to use a straw until he was 3, he cannot blow a whistle -- I think there's something in his brain that is just not connecting with how to use his mouth.

So, since he is improving working with me, should we wait until K for an eval, or get one now?  We live in Alexandria, so should we go through the school system, or go private?  Since he had his frenulum clipped, is there any chance this is a medical issue that insurance will pay for?  If so, how do we make that happen?

Thanks![/quote]

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