Example of letter written after first appointment

I asked you what changes you have been pleased to see in recent
months. You have noticed the following:
• M recently starting using phrases and short sentences (for example “don’t
eat it”). He says these in the correct contexts
• He recognises numbers and can count long sequences
I wondered what you have noticed gets M’s attention and what seems to
help his communication. You talked about the following:
• M likes physical play (for example being chased)
• He likes music (for example listening to classical music, playing with his
ukulele and singing)
• He asks you to “draw a train” which you do. You also draw different things
and encourage him to name what you draw
• You realise that he doesn’t always turn to his name but that he is more likely
to respond if you name an item he is interested in as well as calling his
name (for example “M! Look at the train!”)
• He likes playing with trains and magnets with his dad
• You recognise that sometimes he needs direct motivation to do something.
For example you give him a sweet when he gets out of his chair
• You have noticed that he is more likely to repeat words/phrases when he
plays with his dad
During the assessment session you gave me a lot of useful information about
M. Although you thought I would assess him, I felt that for this first
appointment it was more useful for me to observe him while he played by
himself and with you. This gives more information about his understanding
and talking in real-life. More formal assessments might be helpful at a later
point. Here is what I noticed:
Receptive Language: This means a child’s ability to understand what other
people are saying. This includes the understanding of words, concepts and
grammar. M’s receptive language:
appropriate for age
delayed for age
needs further assessment