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Online/On-Demand Workshop: Let's Hear It For /R/!

Are you struggling with /r/? Do you want a structured approach to remediate this difficult sound?
Email if you are interested in an online workshop for your company/school OR sign-up for the on-demand presentation

Documents and Therapy Materials Link

Need some therapy ideas?  Therapy data logs?  Information on auditory processing or tongue thrust?  Click the clipboard above to access our Documents page to find a wide variety of items we have used over the years that are here to make your job easier!

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 Red Flags:  3 to 4 Years
  • Frequent falling or difficulty climbing stairs 
  • Does not build a tower of more than 4 blocks 
  • Does not manipulate small objects well
  • Does not copy a circle by 36 months/3 yrs
  • Does not easily separate from primary caregiver 
  • Does not answer simple questions such as “who is that?, what do you want?, what is your dolls name?, where is your red truck?” by 36 months/3 yrs
  • Does not use 3-4 word sentences by 3 ½ yrs 
  • Does not accurately answer yes/no questions 
  • Has limited interest in toys 
  • Is not understood at least 75% of the time by adults and peers by 3 years 
  • Does not show interest in playing with other children
  • Has poor eye contact 
  • Does not use “me” or “you” appropriately by 4 yrs
  • Does not consistently use final consonants on words by 3 ½ yrs (ex. says “ca” for “cat”)
  • Is not understood most of the time by 4 yrs
  • Does not respond to people outside their immediate family
  • Does not engage in fantasy play by 4 yrs
  • Does not demonstrate any self-control when angry or upset instead lashes out 
  • Has difficulty scribbling
  • Does not have the ability to jump in place or ride a tricycle
  • Uses gestures or phrases instead of complete sentences by 3 ½ yrs
  • Has difficulty recalling names of common objects and overuses “it, that or thing” 
  • Does not have consistent understanding of basic language such as “in/out, under/over, before/after”, etc
  • Can not give first and last name 
  • Does not use plurals or past tense (still makes mistakes with irregular past tense)


This list is to be used as a resource only. If you have any concerns based on this list, please contact your child’s pediatrician. An evaluation of their development may need to be done.