ECI (Early Childhood Intervention)
ECI is Texas’s early intervention program for babies and toddlers up to 36 months. You can call ECI yourself, without a doctor’s referral.
Is your child talking less than other kids their age?
In El Paso, you can get a free speech evaluation. ECI helps if your child is under 3, and your public school district helps from age 3. Below you’ll find who to call, what happens next and simple ways to practice at home while you wait.

If something on this list worries you, you don’t need to wait and see. You can ask for a free evaluation right away.
An evaluation is a check of how your child talks and understands words. It usually happens through play, often with a speech therapist.
ECI is Texas’s early intervention program for babies and toddlers up to 36 months. You can call ECI yourself, without a doctor’s referral.
Your public school district evaluates children from age 3 for free, even before they start school. El Paso has several school districts, so look yours up by home address first.
UTEP’s university clinic at 1101 N. Campbell Street sees children and adults in English and Spanish. Call to ask about fees and wait times.
These services are run independently of Speech Blubs.
Watch and respond together.Getting an appointment can take time. Speech Blubs gives you short activities to do together: your child watches other kids say words and make sounds, then tries too.
Pick a topic your child loves, like animals or snacks.
Watch together and pause. Give your child time to look, point or say a word.
Use the word later, at snack time or in a book.
If your child sees a therapist, ask which activities fit.
The app content is available in English, German, Spanish, French, Italian, Portuguese, Czech, Swedish, Polish, Hebrew, Hungarian, Lithuanian and Romanian. You can switch the language in the app menu. Read the language FAQ.
Use a walk, a book, or a snack as a reason to talk together. Follow what interests your child.

A west side park on High Ridge Drive with room to walk and play. Bring a ball, roll it and wait for your child to roll it back.
Name something your child notices with a short phrase, such as “big tree.” Pause for their response.

A west side library at 551 Redd Road with a preschool story time. Sing one story time song every day and leave out a word.
Choose a picture your child likes and talk about it together. Connect it to a toy at home.

Offer two familiar toys or foods and name each one. Give your child time to respond. Follow a look, gesture, sound, or word.
Opening hours change, so check the website before you go.
Short answers about free help, costs and the app.
The evaluation is free: through ECI under age 3, or through your public school district from age 3. School speech services are free if your child qualifies. ECI therapy costs depend on family size and income, and no family is turned away because they can’t pay. Find free help.
Texas Medicaid covers speech therapy for children when it’s medically necessary. Private plans differ, so call the number on your insurance card and ask about pediatric speech therapy. Find free help.
Not for ECI or the school district: you can contact them yourself. The school district must answer a written request for an evaluation in writing within 15 school days. Texas Medicaid and many insurance plans need a referral from your child’s doctor. Find free help.
Many 2-year-olds put two words together, like “more milk.” If your child doesn’t yet, it’s a good time to ask ECI for a free evaluation. You don’t need to wait and see. Find free help.
No. It gives you short activities to practice together at home. A speech therapist evaluates your child and plans the therapy. See how the app works.
Speech Blubs is available in English and Spanish, plus 11 more languages. You can switch the language in the app menu. See how the app works.
Speech Blubs is a subscription. You’ll see the current price and any trial in the quiz before you pay. Choose your child’s age.

Start with the quiz to learn about the app for your child.
Upper Valley families can ask for a free speech evaluation for their child by phone or in writing. On the west side, Westside Community Park and Dorris Van Doren Library are good places to practice.
If your child is a baby or toddler, start with ECI, Texas’s early intervention program. You can call yourself, and the evaluation is free. Find your ECI program by ZIP code on the Texas HHS website. From age 3, your public school district does the evaluation for free. Look up your district by address on the Texas Education Agency website. Then write to its special education office. Texas Medicaid covers speech therapy for children when it’s medically necessary, with a referral from your child’s doctor. Before you call, write down the words your child uses, in any language.
Westside Community Park is on High Ridge Drive. Bring a ball and play “roll and wait.” Roll it to your child and say “ball.” Then hold out your hands and wait. When they roll it back, say “my turn” or “thank you.” Taking turns like this is a big part of a conversation. Stop while your child is still having fun.
Dorris Van Doren Library is at 551 Redd Road. It has a preschool story time and a children’s playtime. At home, choose one song from story time and sing it every day. Leave out a word now and then. Let your child fill the gap with a sound or a word. Sing in English, Spanish or both.
We last checked these details in October 2026.
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