S.H.
My son received assessments and speech therapy from our local community ECD organization. (it was not through a school).
After the assessment, they get the results, then in person, will go over it with you. THEN they recommend what is needed in terms of speech therapy (in my son's case), then they/you decide on how often he should have his sessions... and then YOU decide if you want to go ahead with it. If you do not want to, then you are turning down their services. OR if at a later time, you want to have services, they can do so.
At anytime, you can start or stop... services.
At least that is how it was per our ECD organization.
It is totally voluntary.
And it is very helpful.
My son, LOVED LOVED LOVED his speech therapy and his Speech Therapist.
I... did NOT have to get a recommendation from our Pediatrician... they sent the paperwork/assessments to the Pediatrician... and then I told our Pediatrician that I was getting speech therapy for my son.
In my case with my son, the ECD program is only for kids up until 3 years old only. And it is free.... until then.
all the best,
Susan