Teletherapy Assessments: Because we are operating virtually, we have adjusted our assessment process and fees to accommodate the limitations of standardized testing performed online. Some assessment tools lend themselves well to this format, but some do not. Therefore, our usual testing battery is being modified as a result. Until we reopen for in-person therapy, we will provide assessment as follows, in order to provide some necessary data for insurance requirements, as well as for setting goals and establishing an initial treatment plan. We can of course, modify it as always, should we find it is appropriate to do so. When possible, we will use previous assessments and IEPs to provide as much data as possible so as to minimize the need for extensive online testing.
We offer assessments up to age 12.
For children ages birth-age 2 ($600): the Director of Clinical Services, Kristen White, will conduct a phone or zoom consultation with you to discuss your concerns about your child, as well as review your child’s patient history and Request for Services. She will then observe your child in his or her natural environment during play with a parent. We will explain to you how to prepare for this observation. We also have a parent questionnaire we can use to obtain some standardized data and will provide you with a report of results and initial goals so we can begin therapy. If your child is able to participate, there are a few standardized tests we can do for expressive vocabulary and articulation. This is different than the usual in-person standardized testing we conduct at our clinic. However, we feel confident we can get a good picture of what to work on with this method of assessment for the time-being. Therefore, we are temporarily reducing our fee to $400 for initial assessments and a report of findings.
($800) For children ages 3 through 4 years 11 months: Kristen will also conduct a consultation and review of your child’s patient history as described above. In addition, we are able to conduct many key tests via teletherapy if your child is able to sit in front of a screen and actively participate. We can of course have breaks and a few quick fun games to break things up. Therefore, that fee has been temporarily reduced to $800 for an initial assessment and a summary report of findings, depending on the number of tests performed. This will include speech (articulation) and language testing. If auditory testing is required please see below.
For children ages 5 years to 6 years 11 months: $1000
Ages 7 and up: $1299
Articulation assessments are $250 for an initial assessment and a summary report.
* Stuttering/Voice/AAC: We are not currently handling these cases, but will be happy to refer you to a local specialist who does.
* Feeding: While we do including feeding/drinking in our oral-motor screen, we do not do in-depth feeding assessments or therapy for feeding issues.
* Children over the age of 12
* Children with aggressive behaviors or who are resistant to adult-directed tasks
Fill out a Request for Services Form.
We want to know about your child! It is important for us to know about your child's developmental history, previous diagnoses, health, etc.
Has your child previously been assessed? Whether it is a speech pathologist, school, occupational therapist, or psychologist, all information is helpful! We read it all and use the information to make sure we assess all appropriate areas.
After you have filled these documents out, please email to: email@example.com or mail to: Hamaguchi & Associates 20111 Stevens Creek Blvd, Suite 145, Cupertino, CA. 95014. Our fax number is (408) 366-1011.
Once we receive these documents, we will be in touch within one business day to discuss scheduling options with you.
Kristen White, our Director of Clinical Services, will review your paperwork and assist the Office Manager in scheduling your child. Articulations assessments are done in one sitting. All others take a bit more time.
The First Visit: The first visit is scheduled with Kristen White. For elementary/auditory processing cases, Patti Hamaguchi may join. Kristen and/or Patti will talk with you, without your child there, in order to review your concerns, your child's history, etc. and to make sure we select exactly the right tests. In some sense, we are in fact "speech-language detectives" when we start this process. After this, Kristen will do some initial chit-chat/play with your child for 15-20 minutes and perhaps some simple, initial testing. The primary goal is to make your child feel comfortable and "warm up" to us. We will not generally do any challenging testing on this first visit.
Next: A testing plan is then put together and carried out by our speech pathologists, usually over 3-5 sessions. The results are scored, and a review takes place about 2-3 weeks later with the parents/clinical staff. You will be provided with a report at that time and we will discuss treatment goals, and if any other referrals (hearing, occupational therapy, etc.) are appropriate.
Articulation Screening: (pronouncing sounds) Informal, without a report for simple cases (only a few sound errors): prorated at the current therapy rate, typically 45-60 minutes ($147-$196) FYI: If you plan to seek insurance reimbursement, you will most likely need to have a formal evaluation (#4 below) completed instead of a simple screening.This articulation screening does not provide a report you would need to submit to your insurance company.
What do we do as part of an articulation screening? We typically play and talk with your child so that we may observe the following:
Articulation full assessment only; with oral-motor exam, formal report & review: $299 Includes the following: Review of records and previous reports, administration of informal and formal articulation measures, oral-motor exam; written report (typically about 2-3 pages) including recommended goals and therapy techniques. The reports are generally necessary for insurance reimbursement. (FYI If your child has difficulties with articulation as well as language, you will want to schedule a comprehensive speech-language assessment instead, which would also include articulation/oral-motor exam. See #5-7 below.)
What do we do? We typically administer the following 2 tests:
The other purpose of the assessment is to determine what type of speech disorder your child is demonstrating (e.g. Apraxia? Phonological processing? Developmental? Oral-motor weakness?) and develop an appropriate treatment plan for that specific speech disorder. Many times the specific diagnosis is associated with related learning or sensory delays and we will share important information about the nature of the disorder with the parent, as well as any suggestions for the parent to help the child at home.
Comprehensive assessment for speech delays for children birth- 2 years: $600
Children ages 3 years-4 years 11 months $800 (due to longer/additional tests)
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 report with parent(s).
What do we do? We use toys and “play” to observe your child’s skills in the following areas:
When possible, we do like to attempt some formal testing measures as well, once the child is more comfortable with the environment. We select the tests based on the child’s needs and skill level, but these are a few of the tests we use with this age group: Preschool Language Scale-5 (“PLS”) Goldman-Fristoe Test of Articulation 2, Peabody Picture Vocabulary Test-4, Expressive One-Word Picture Vocabulary Test -2, REEL-5, Clinical Evaluation of Language Fundamentals-Preschool (CELF-P).
Birth-Age 4: Comprehensive Assessment with Bilingual Input (Mandarin/Cantonese/Spanish only) - $800
What kind of information are we looking for when testing young children?
For children with significant cognitive and communication deficits:
Some tests that we select from include: The Peabody Picture Vocabulary Test, The Expressive One Word Picture Vocabulary Test, The Preschool Language Scale-5, the Goldman Fristoe Test of Articulation 2, The Hamaguchi Oral-Motor Assessment. In addition, we supplement our findings with informal activities to see how the child functions in a more naturalist context. These include conversational samples and participating in a play activities.
Comprehensive assessment for speech/language development for children ages 5 years to 6 years 11 months $1000
Ages 7 and up: $1299
Our language assessment 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 report with parent(s).
What kind of information are we looking 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
* Comprehension of language at the word, sentence and story level
* Word retrieval
* Attending behaviors
* If indicated, an oral-motor assessment or screening (for articulation disorders)
* Voice & Fluency screening
* 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.
Some tests that we select from include: The RESCA-E (Receptive, Expressive & Social Communication Assessment-Elementary) the Goldman Fristoe Test of Articulation 2, The Hamaguchi Oral-Motor Assessment, The Rapid Naming Test, and the CASL-2 (selected subtests). In addition, we supplement our findings with informal activities to see how the child functions in a more naturalist context. These include: conversational samples, written language samples, oral reading, and participating in a play activity.
Comprehensive speech-language evaluation: $1299 (ages 7 and up) Reports tend to be lengthier, typically 13-15 pages. This assessment includes all of the areas above, as well as test batteries that examine auditory skills:
Some tests that we select in addition to those listed in the language section include: The Test of Auditory Processing Skills (TAPS-4) Test of Phonological Awareness, C-TOPP2 (Comprehensive Test of Phonological Processing 2) and Phonemic Synthesis Test. When we do in-person assessment, the fee is higher and we include the SCAN-C.The report includes recommended goals and course of treatment; 45-60 minute review of report with parent(s).
Group Initial Mini-Assessment: A group initial mini-assessment/set-up is $400. This includes a review of past reports, meeting with parents to review concerns, the child, the administration of specific tests that are relevant to group goals, and if permitted, connecting with other professionals and teacher(s). This assessment is for children who are attending our group program only.
Q. What if my child screams and cries and won’t do anything the speech pathologist asks him to do?
A. Although rare, this does occasionally happen. We do attempt to establish a rapport with your child and make her comfortable. Usually by the second or third session, the child is more comfortable and less apprehensive about the sessions. Sometimes the child needs a “snack break” to break up the sessions and regroup. However, there are times where a child is simply inconsolable. As stated in the previous section, there is a “maximum” number of hours of scheduled direct time with your child that is included with the assessment fee. All scheduled sessions are counted in this total, regardless of your child’s level of cooperation or speed in responding. We may decide to simply do more informal kinds of assessment early on and save the formal assessment process until your child has settled into the routine and developed a rapport with the therapist. In addition, this might also signal that your child is not ready for the kind of adult-directed therapy that we do, and so we may consider referring out to other professionals for alternative kinds of intervention.
Q. What if I need to cancel the assessment after I have started the process?
A. Again, this is extremely rare but occasionally parents have family emergencies, unexpected job transfers, or simply decide their child is too fussy to continue. In these cases, you will be charged for the scheduled assessment time up to that point at our usual therapy rate ($196 an hour) and no report will be provided, if we are given at least three days’ notice before the upcoming appointment.
Q. What if I plan to apply for insurance reimbursement?
A. If you plan to seek reimbursement from your health insurance company for an evaluation, you usually must have a written referral from your child’s primary physician before the evaluation. Please be aware that we are not affiliated with any HMO or PPO groups, although many clients receive out-of-network PPO reimbursement or use their company's HSA. Please read our flyer, “If You Intend to Seek Insurance Reimbursement” form.
Q. What if my child is developmentally functioning on a much younger level and is age 5? I don't think he will be able to do all that testing.
A. If your child is not able to participate in the typical assessment process, we do consider this on a case-by-case basis. In some situations, if the child is performing at a much younger age we will consider dropping the fee to be comparable to the testing we do for younger child as the sessions will be fewer and shorter.