The evaluation is a collaborative process, that typically takes place within one 60 minute session.   The therapist will gather important information from the caregiver as well as from the therapists’ own observation and use of standardized evaluation tools.  The therapist for your child selects these evaluation activities and tools based upon information received from the caregiver in the medical history form of the patient packet.  Therefore, it is critical that each family complete and submit the child’s medical history form and patient packet prior to the start of the evaluation so the therapist can determine the best approach for your child’s evaluation session. Stepping Stones must receive the signed consent page from the patient packet in order to begin any services with your child.  Please visit the Forms section above to access printable forms that you can fax, email or snail mail into our office prior to the scheduled start of services for your child. Please remember to include a confidentiality note if emailing or faxing your private and personal information.* Example: *Confidentiality Note:  This message may contain privileged and confidential information intended only for the use of the above named individual.  If the reader of this message is not the intended recipient, you are notified that any review, dissemination, distribution or copying of this communication is prohibited.  If you have received this message in error, please immediately notify the sender by telephone and shred the original to destroy it.

Once an evaluation has been completed, your child's services need to be authorized by either your private insurance company or the State of Arizona prior to the start of ongoing service provision, unless you are paying privately for services.  Our office will assist you in gaining the authorization as well as a current medical script from the prescribing physician.  During this process, you can begin completing the Patient Packet available under the Forms section in the above menu.  This allows for a faster set up of therapy services.

At Stepping Stones, we are committed to providing families with the best services possible, and towards that end, only hire licensed, experienced therapists who have demonstrated dedication and passion for their respective fields through previous excellence in employment and fieldwork.

We believe that client satisfaction begins with therapist's job satisfaction and therefore, we strive to meet the needs of each therapist individually.

Physical therapy addresses a child’s ability to achieve their greatest functional mobility. The goals of physical therapy include promoting independence, increasing participation with family and peers, facilitating motor development and function, improving strength, enhancing learning opportunities, easing caregiving, and promoting health and wellness.


Skill areas addressed in Physical Therapy:

  • Muscle and joint function
  • Strength
  • Endurance
  • Posture
  • Balance
  • Coordination
  • Gross motor skills
  • Need for assistive technology

Occupational therapy addresses a child’s performance and ability to participate in activities of everyday life. A child’s occupation is everything they do to “occupy” themselves. Participation in occupation includes play, activities of daily living, education, and social participation. Occupational therapists evaluate underlying performance skills and address how it impacts the child’s ability to function and engage in occupations. 


Skill areas addressed in Occupational Therapy:

  • Motor development- Range of motion, Muscle strength, Fine motor skills, Grasp and prehension skills, Bilateral and midline skills, Movement transitions, Prewriting/writing skills, Object manipulation, Eye-hand coordination, Oral motor skills
  • Sensory processing- Body awareness, Self-control, Motor planning, Vestibular/proprioceptive/tactile/auditory/visual processing
  • Cognition- Memory, Task attention, process, and completion, problem solving, reasoning, 
  • Self-help skills- Feeding, Toileting, Dressing, Bathing, Grooming
  • Visual perception- Visual tracking, Visual closure, Spatial orientation, Visual memory, Form constancy, Visual discrimination
  • Social/emotional development- Social skills and community integration, family resources
  • Adaptive techniques and compensatory strategies

Speech therapy addresses the child’s ability to develop the speech and language skills necessary for effective communication. The goal of speech therapy is to allow individuals to participate in quality life experiences, including communicating their wants and needs, seeking information and participating in conversations.  It also can be used to address feeding disorders and oral motor deficits.


Skill areas addressed in Speech Therapy:

  • Receptive language development
  • Expressive language development-including articulation and phonology, voice, fluency, dysarthria, apraxia, vocabulary, grammar and syntax, oral and written language skills, auditory processing deficits
  • Social interaction and pragmatic skills
  • Cognition, problem solving, reasoning orientation and memory
  • Pre-speech & feeding skills, swallowing and motor speech disorders
  • Augmentative communication- including various options (ex: Picture Exchange Communication System) through electronic augmentative communication devices (ex: Dynavox or Springboard, IPADs)
  • Sign language
  • Oral motor – feeding/swallowing, tongue movement and control, breath support
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