Parent guides

Clear answers for a confusing process.

Plain explanations of how to choose, prepare for, and make sense of a child evaluation.

California

Free programs, rights, and coverage

Early Start, school assessments, regional centers, Medi-Cal, and insurance, with the official sources for every rule.

Birth to 3

Early Start in San Francisco, San Mateo, and Marin

How families in San Francisco, San Mateo, and Marin ask Golden Gate Regional Center for a free developmental evaluation for a baby or toddler under 3, what happens next, and what changes at age 3.

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Birth to 3

Early Start in Alameda and Contra Costa

How families in Alameda and Contra Costa ask Regional Center of the East Bay for a free developmental evaluation for a baby or toddler under 3, what happens next, and what changes at age 3.

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Birth to 3

Early Start in Santa Clara, Santa Cruz, Monterey, and San Benito

How families in Santa Clara, Santa Cruz, Monterey, and San Benito ask San Andreas Regional Center for a free developmental evaluation for a baby or toddler under 3, what happens next, and what changes at age 3.

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Ages 3 to 5 in San Francisco

SFUSD preschool assessment

San Francisco Unified assesses children ages 3 to 5 for special education at no cost, including children who aren't enrolled in an SFUSD preschool. Here's who to contact and what timelines apply.

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Ages 3 to 21

Requesting a school evaluation

Any parent in California can ask their public school district to assess their child for special education. Put it in writing, and the district has 15 days to send a plan and 60 days after you sign to finish and meet.

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Ages 3 to 21

Independent educational evaluations

If you disagree with your district's assessment, you can ask for an independent educational evaluation at public expense. Here's how the request works and what the district must do.

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Age 3 and older

Regional center after age 3

After the third birthday, California's regional centers serve people with autism, intellectual disability, cerebral palsy, epilepsy, or a closely related condition. Here's who qualifies, the timelines, and Bay Area intake contacts.

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Under 21 with Medi-Cal

Medi-Cal and evaluations

Children and teens under 21 with full-scope Medi-Cal are covered for medically necessary screening, diagnostic, and treatment services under EPSDT. Here's how that applies to developmental, autism, and ADHD evaluations.

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Families with private insurance

Autism insurance law (SB 946)

California requires state-regulated health plans to cover behavioral health treatment for autism, and to cover medically necessary mental health care on the same terms as other medical care. Here's what that means for getting an evaluation covered.

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All ages

Diagnosis vs. eligibility

In California, a clinical diagnosis, special education eligibility, and regional center eligibility are three separate decisions made by different people using different rules.

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All ages

Testing vs. consultation

Some evaluations are a few hours of interviews and observation; others include a day of standardized testing and a long report. Here's how they differ and which questions each can answer.

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All ages

While you wait

Private evaluation waitlists in the Bay Area can run for months. Free public routes have legal timelines, and much of what helps a child doesn't require a diagnosis.

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Any state

Understanding evaluations