Do You Need a Doctor’s Prescription for School Speech Services?

It is a common misconception that school-based services, such as speech therapy, require a doctor's prescription or medical diagnosis to continue. In the public school system, eligibility is determined by the Individuals with Disabilities Education Act (IDEA), which focuses on educational impact rather than medical necessity. A student qualifies for services only if their disability adversely affects their ability to access the curriculum. If a student’s testing scores are in the "low average" range and there is no observable impact on their education, the IEP team—not a doctor—will likely determine that the student no longer meets the criteria for Special Education.

While a parent is always free to seek a medical diagnosis from a neurologist or private provider, that diagnosis does not automatically dictate school services. Schools operate under an educational model, meaning a doctor cannot "prescribe" school-based therapy or override the IEP team's data. If the school's testing shows the student is functioning within the average range and participating fully in class, the school is legally required to propose exiting the student from services, regardless of outside medical opinions.

VillageED’s special education services page offers guidance for understanding eligibility and navigating the exit process: https://www.villageed.org/sped-services.