What referral is appropriate when a 23-month-old misses many communication milestones?
Arrange assessment by an ASHA-certified audiologist or speech-language pathologist.
- Assess hearing, receptive/expressive language, gestures, and communication across settings.
- The 19–24-month range includes at least 50 words, combinations of two or more words, and two-step directions.
- Milestones identify concern; the checklist alone does not establish a diagnosis.