- Three doors: your pediatrician, early intervention (under 3), and your school district (3 and older). - Early intervention and school evaluations are free to families. - You can use more than one door at the same time. - Get on waitlists early, and start support while you wait.
Where do I start?
Pick the door that fits your child's age, and don't be afraid to knock on more than one.
| Door | Who it's for | How to start | Cost to you |
|---|---|---|---|
| Pediatrician referral | Any age | Ask for an autism screening and a referral to a specialist | Depends on insurance |
| Early intervention (Part C) | Under 3 | Call your state's program; you don't need a referral | Evaluation is free |
| School district | 3 and older | Ask in writing for a special education evaluation | Free |
How does early intervention work?
Every state runs an early intervention program for babies and toddlers under 3, under a federal law called IDEA Part C. Anyone can make a referral, including parents.1
The program evaluates your child's development at no cost. If your child qualifies, they can get services like speech or developmental therapy, often at home. An autism diagnosis isn't required to qualify.2 Find your state's contact on the ECTA Center's list.1
How do I ask my school district for an evaluation?
For children 3 and older, public school districts must evaluate children who may need special education, even if they aren't enrolled there yet.2
- Write a short letter or email to the district's special education office. Say you're requesting an evaluation for special education, and why.
- Date it and keep a copy. Timelines usually start when the district gets your written consent.
- Share what you've noticed and any reports you have.
Your state's Parent Training and Information Center can help for free, including with letters and meetings.3
Who does medical autism evaluations?
Developmental pediatricians, child psychologists, child psychiatrists and pediatric neurologists do medical evaluations, often in children's hospitals, university clinics and autism centers.4 Ask your pediatrician for a referral, and ask your insurer which clinics are in network.
How do I get through long waitlists?
- Get on two or three waitlists at once
- Ask to be called for cancellations
- Ask whether a psychologist in private practice can see you sooner
- Start early intervention or a school evaluation now
- Waiting for a diagnosis before asking for any help
- Assuming the first clinic is your only option
- Losing track of who you called and when
What can I do today?
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Wondering what happens on the day? Read How is autism diagnosed in children?