For parents in California

Speech therapy for kids in California.

Is your child talking less than other kids their age?

In California, you can get a free speech evaluation. Early Start helps if your child is under 3, and your public school district helps from age 3. Choose your city to see who to call and what happens next.

A child plays with colorful shapes and the Speech Blubs mascot.
California, United StatesOfficial sources
Is my child on track?

Signs to look for, by age.

If something on this list worries you, you don’t need to wait and see. You can ask for a free evaluation right away.

By 18 months
Tries to say at least 3 words besides “mama” or “dada.”
By 2 years
Puts two words together, like “more milk.”
By 3 years
Has a short back-and-forth conversation with you.
At any age
Stops saying words they used to say.
Find your city

Choose your city in California.

Each city guide shows who to call, what therapy costs, what happens next and places nearby to talk and play.

Don’t see your city? Early Start and public school districts serve families across California.

Free and paid help in California

Where to get help in California.

An evaluation is a check of how your child talks and understands words. It usually happens through play, often with a speech therapist.

Under 3 · free evaluation

Early Start through your regional center

Early Start is California’s early intervention program for babies and toddlers up to 36 months. Regional centers run it, and yours depends on where you live.

The evaluation is free, and you don’t need a doctor’s note to call. If your child needs therapy, it may be billed to Medi-Cal or your insurance first.
Find your regional center
Age 3 and up · free evaluation

Your public school district

Your district evaluates children from age 3, even before kindergarten. Ask in writing for a speech and language evaluation.

The evaluation is free, and so are school speech services if your child qualifies. Your school district depends on your home address.
See your city’s school district
Any age · doctor or clinic

Your child’s doctor or a speech therapist

Your child’s doctor can refer you to a speech therapist. You can also contact a children’s hospital or a private clinic.

Medi-Cal covers medically necessary speech therapy for children. Private plans differ, so call the number on your insurance card.
Find a clinic in your city

These services are run independently of Speech Blubs.

Questions parents ask in California.

Short answers about free help, costs and the app.

Is speech therapy free in California?

The evaluation is free: through Early Start under age 3, or through your public school district from age 3. School speech services are free if your child qualifies. Early Start therapy may be billed to Medi-Cal or your health insurance. Find free help.

Does Medi-Cal or insurance cover speech therapy?

Medi-Cal covers medically necessary speech therapy for children. Private plans differ, so call the number on your insurance card and ask about pediatric speech therapy. Find free help.

Do I need a doctor’s referral?

Not for Early Start or the school district: you can contact them yourself. Medi-Cal and many insurance plans may ask for a referral from your child’s doctor. Find free help.

My 2-year-old only says a few words. Should I worry about a speech delay?

Many 2-year-olds put two words together, like “more milk.” If your child doesn’t yet, it’s a good time to ask Early Start for a free evaluation. You don’t need to wait and see. Find free help.

Does Speech Blubs replace a speech therapist?

No. Speech Blubs is an app with short activities to practice together at home. A speech therapist evaluates your child and plans the therapy.