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 San Antonio, 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. If you live in San Antonio ISD, send a short written request to its special education office.
A UT Health San Antonio speech-language pathologist treats children’s speech, language and feeding concerns. You can ask for an appointment through the provider page.
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 small park just west of Lavaca, with benches and a gazebo for a short pause.
Name something your child notices with a short phrase, such as “big tree.” Pause for their response.

The downtown San Antonio Public Library, a good trip for stories about going places.
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.
In Lavaca, help with your child’s speech can start with a free evaluation through ECI or your school district. King William Park nearby and Central Library downtown are easy outings that give your child things to talk about.
If your child is under 3, call ECI, Texas’s early intervention program for babies and toddlers. The evaluation is free, and you can call without a doctor’s referral. From age 3, write to your public school district and ask for a free evaluation. Say whether your child stays at home or goes to preschool, private school or a public school. That helps the district guide you. The district must answer in writing within 15 school days. For a private clinic, UT Health San Antonio has a speech therapist who works with children.
King William Park is a small park just west of Lavaca, with benches and a gazebo. It’s a good place for a short pause on a walk. Count what you see together: “one bird, two birds”. Let your child hold up fingers or try a number. Any try is a good answer. Move on when they’re ready, and count again on the way home.
Central Library is San Antonio Public Library’s downtown branch. Choose a story about going somewhere, like a bus ride or a trip to the city. At home, find a picture that looks like your own trip and point: “our bus”. Let your child tell you about it in any way they can. Read the same favorite story again whenever your child asks. A favorite book can become part of your bedtime routine.
We last checked these details in October 2026.
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