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MWMG Pediatrics

Part I and Part II of this blog series discussed the first steps to take if you have concerns about your young child’s development.  You have started your journey towards addressing your concerns.  Your options are laid out as a road map and you have a destination or goal for your child.  But how do you get there?  There is more than one way to help support your child’s development.  Choosing the way that is the best fit for your child can get confusing at times.  This third and final part of the series talks about some options available to help support your child’s development.  All of these can be considered as part of your plan.  Your pediatrician may have some other suggestions depending on your child’s individual needs.  We will explore two of the most common recommendations for young children.

Early Intervention Services:

Who can access?  Part C Early Intervention Services are for infants and toddlers ages birth to three. 

What are they?  Services are provided in the child’s natural environments.  These can include the child’s home, playground, library, stores, or anywhere that your child spends his or her day.  All services are family-centered to address parent’s concerns, priorities, and goals.  Services can include physical therapy, occupational therapy, speech therapy, developmental services, and service coordination. 

What does a visit look like?  Early Intervention services are based on a parent-coach model.  The provider works with the family to identify and teach the caregiver strategies which can be implemented throughout daily routines and activities.  The primary focus is on empowering the family to build a “bag of tricks” to use to support the child.

What do these services cost?  Intake, assessment, and service coordination activities are provided at no cost to the family.  There is a fee for therapy services but no family is turned away based on inability to pay.  Sources of payment are insurance, Medicaid, Part C funds, sliding fee scale, or fee appeal.

Who do I call in Fredericksburg?  The Parent Education – Infant Development program is the local Part C Early Intervention provider.  Please visit call (540) 372-3561.


Private-based, Medical Model Therapy Services

Who can access?  Each provider determines who can access services.

What are they?  Private therapy services are most often provided in a clinic or outpatient setting.  Services could include speech therapy, occupational therapy, or physical therapy.

What does a visit look like?  Most often, a parent brings the child to the clinic to meet with the therapist.  The therapist takes the child into another room to provide and practice techniques to address identified goals and developmental needs.  The therapist may or may not include the parent in the visit or provide a home program to practice between sessions.

What do these services cost?  The cost of these services depends on the provider.  Certain providers will bill private or public insurances and others do not.  Please talk directly with provider for more information. 

Who do I call in Fredericksburg?

Children’s Hospital of Richmond-Fredericksburg and Stafford locations

Helping Hands

Therapy Toolbox


Final thoughts:

Remember to consider what works best for your family!  No one type of therapy will work for every child or family.  The resources listed above are not mutually exclusive.  Your plan should fit your priorities, concerns, and resources!  If you need assistance with figuring out how to access the services above, we can help!  May is Early Intervention Month!  There is no better time to act than now!  Remember, Babies Can’t Wait!  Contact the Parent Education –Infant Development Program of the RACSB:

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About Brandie

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Join my blog to find early childhood developmental tips, tidbits, strategies, and activities to support children and families.   As a mother of multiple sons (18, 14, 8, 6, and 3), I know that life can be hectic, so all strategies and activities can fit in the context of daily routines and places families typically go.

I am enthusiastic about supporting families who have concerns about their child’s development and helping connect them to desired resources.

Pouches' Community Corner

Pouches Visits the Past


If Pouches' experience at History Camp is any indication, your son or daughter will enjoy joining Washington Heritage Museums and the George Washington Foundation for History Camp in Fredericksburg. The week-long day camp will be held June 25-29, from 9:00 a.m. to noon each day.

Young historians discover American history with hands-on experiences as they walk in the footsteps where the history of Fredericksburg, and a budding America, was created. The camp complements the history taught in classrooms with activities such as soap making, code breaking, colonial crafts, penmanship and much more.