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      • Treatment Overview
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  • HOME
  • Assessments
    • Assessment overview
    • Neuro & Cognitive Eval
    • Psych/Diagnostic Clarify
    • ADHD Evaluation
    • Autism Evaluation
    • Learning & Academic Eval
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Development & School Readiness Evaluation

Understanding how a child learns, grows, and prepares for school.


Young children develop at different rates, and it is not always easy to know whether a concern reflects normal variation or something that deserves a closer look. A developmental and school readiness evaluation can help clarify a child’s learning, communication, attention, behavior, emotional development, and everyday skills so families can better understand what support may be helpful.



When you're wondering, "Are they ready?"

School readiness involves much more than knowing letters, numbers, or colors. Attention, language, problem solving, emotional regulation, social skills, independence, and the ability to manage everyday routines all contribute to how a child functions in a classroom.

A thoughtful evaluation looks at the whole developmental picture to help families understand a child’s strengths, identify areas that may need support, and make informed decisions about school entry and early intervention.

request a developmental evaluation

What can a developmental evaluation help clarify?

Cognitive Development

Language & Communication

Language & Communication

Problem solving, reasoning, memory, and other early thinking skills that support learning.

Language & Communication

Language & Communication

Language & Communication

Understanding and using language, following directions, expressing ideas, and communicating needs.

Early Academic Skills

Language & Communication

Attention & Executive Functioning

Emerging skills related to reading, writing, numbers, concepts, and other foundations for classroom learning.

Attention & Executive Functioning

Attention & Executive Functioning

Attention & Executive Functioning

Attention, impulse control, working memory, flexibility, task persistence, and the ability to follow routines.

Social & Emotional Development

Attention & Executive Functioning

Social & Emotional Development

Emotional regulation, social interaction, coping, behavior, and adjustment to expectations or transitions.

Adaptive & Everyday Skills

Attention & Executive Functioning

Social & Emotional Development

Independence with routines, self-care, communication, and other practical skills needed at home and school.

When might a developmental evaluation be helpful?

Developmental Questions

Developmental Questions

Developmental Questions

When a child seems to be developing differently from peers or there are concerns about learning, communication, play, independence, or behavior.

School Readiness

Developmental Questions

Developmental Questions

When families are unsure whether a child is ready for kindergarten or would benefit from additional time or support before school entry.

Attention & Regulation

Developmental Questions

Early Learning Concerns

When a child has difficulty sustaining attention, following routines, managing impulses, transitioning between activities, or regulating emotions.

Early Learning Concerns

Social & Behavioral Concerns

Early Learning Concerns

When early reading, language, number concepts, memory, or other foundational learning skills seem harder than expected.

Social & Behavioral Concerns

Social & Behavioral Concerns

Social & Behavioral Concerns

When challenges with social interaction, flexibility, behavior, coping, or classroom expectations are affecting everyday functioning.

Planning Supports

Social & Behavioral Concerns

Social & Behavioral Concerns

When families or schools need clearer information to guide early intervention, classroom supports, accommodations, or other next steps.

What to expect from a developmental evaluation

1. Parent / caregiver interview

3. Observation & additional information

1. Parent / caregiver interview

We begin by learning about your child’s developmental history, strengths, current concerns, routines, behavior, learning, and the questions you hope the evaluation will answer.

2. Individualized assessment

3. Observation & additional information

1. Parent / caregiver interview

Testing is selected based on your child’s age and referral question and may include measures of cognitive development, language, early learning, attention, behavior, social-emotional development, and adaptive skills.

3. Observation & additional information

3. Observation & additional information

5. Integration & developmental clarification

When helpful, we consider behavioral observations, preschool or school information, previous evaluations, questionnaires, and input from teachers or other professionals.

5. Integration & developmental clarification

5. Integration & developmental clarification

5. Integration & developmental clarification

Your clinician brings together the full picture to understand your child’s developmental pattern, identify strengths and areas of need, and determine whether additional diagnoses or supports may be appropriate.

6. Feedback & recommendations

5. Integration & developmental clarification

6. Feedback & recommendations

We review the findings in clear language and provide practical recommendations for home, preschool or school, early intervention, treatment, and other supports.

More than a readiness score.

A useful developmental evaluation should do more than answer whether a child is “ready” for school. It should help families understand how the child learns, communicates, manages everyday demands, and where support may make the biggest difference.

Understand the whole child

Recognize strengths and needs

Recognize strengths and needs

See how learning, language, attention, behavior, social-emotional development, and everyday skills fit together.

Recognize strengths and needs

Recognize strengths and needs

Recognize strengths and needs

Identify areas where a child is thriving as well as skills that may benefit from additional support.

Plan the next steps

Recognize strengths and needs

Plan the next steps

Use the findings to guide school-entry decisions, early intervention, classroom supports, treatment, and strategies for home.

Insurance & Costs

Insurance coverage for developmental and school readiness evaluation varies by plan and by the reason testing is being requested. Some plans require prior authorization, limit certain testing services, or may not cover evaluations completed primarily for educational or school-placement purposes.


Our team can help explain the authorization process and what questions to ask your insurance company before testing begins.


Insurance, Demystified
Learn what terms like deductible, copay, coinsurance, prior authorization, and “covered service” mean—and what to ask before an evaluation.


Coverage and patient responsibility are ultimately determined by the individual insurance plan.

Learn about insurance and costs

Wondering if your child is ready for the next step?

Tell us what you’ve been noticing and what questions you have about your child’s development or school readiness. We’ll help determine whether a developmental evaluation is the right next step.

request a developmental evaluation

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Spokane • Eastern WA • North Idaho • Pacific NW

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