When to make a referral

If Your Child . . . . .

• cannot say "Mama" and "Da-da by age 1 
• cannot say the names of a few toys and people by age 18 months 
• is not talking in two or three word sentences by age 2 
• is not understood by people outside the family by age 4

If Your Child . . . . .

• does not turn to face the source of strange sounds or voices by six months old 
• has frequent ear infections or running ears 
• talks in a very loud or very soft voice 
• does not respond when you call from another room 
• turns the same ear toward a sound he/she wishes to hear

If Your Child . . . . .

• is often unable to locate and pick up small objects which were dropped 
• frequently rubs eyes or complains that eyes hurt 
• has reddened, watering or encrusted eyelids 
• holds head in a strained or awkward position (tilts head to either side- 
• thrusts head forward or backward) when trying to look at a particular object 
• sometimes or always crosses one or both eyes

If Your Child . . . . . 

• is unable to sit up without support by age 8 months 
• cannot walk without help by age 16 months 
• does not walk up and down steps by age 2 1/2 
• is unable to balance on one foot for a short time by age 4 
• cannot throw a ball overhand and catch a large ball to him/her by age 4

If Your Child . . . . .

• does not play games like peek-a-boo, patty cake, and waving bye-bye by age 1 
• does not imitate parents doing routine household chores by age 2 to 3 
• does nto enjoy playing alone with toys, pots/pans, sand, etc. by age 3 
• does not play group games such as hide-and-seek, tag-ball, etc. with other 
• children by age 4 
• does not share and take turns by age 5

If Your Child . . . . .

• does not react to his/her own name when called by age 1 
• is unable to identify hair, eyes, ears, nose and mouth by pointing to them by age 2 
• does not understand simple stories told or read by age 3 
• does not give logical answers to such questions as "What do you do when you 
• are sleepy?" or "What do you do when you are hungry" by age 4

If Your Child . . . . .

• does not actively assist in learning self-help skills 
• uses play materials inappropriately (throws, stamps on) 
• usually doesn't comply with adult's requests 
• displays excessive behaviors such as hitting, crying temper tantrums, 
• withdrawl, wetting or soiling trousers