I had to go around my pediatrician outright. At my son's 5 year well visit, I told her that I wanted him evaluated for learning disabilities or ADD. He was having some pervasive gaps learning basic things, and I was noticing some other things. She did not even listen to what my concerns were for wanting those, and just dismissed it as being a 5 year old boy. Six weeks later, we were there for a sick visit, and I pushed my hand. She got us the name of someone who was not the right person anyway, but, that lady directed me in the right direction. We are starting kindergarten home schooling next month, but, the school system still has to evaluate him for free under the IDEA laws. So, after my insane wait for them, he got a battery of assessments. THat has led from one thing to the next. But, basically, I found out that he has an auditory processing disorder. And, he has no signs of ADD. THe things I thought might be that are really total sensory seeking behaviors. He randomly makes noises, chews on inedible objects, is rough, likes fast motion, and on and on. The speech evaluator actually recommended the OT eval. And, what I have done with every recommendation is call my pediatrician's office and just tell them I needed them to get me a referral to XYZ place. I don't require a referral from insurance, but the primary dr needs to refer to get into a lot of these. I have done that for the OT eval and the neurologist, who I picked myself. It is annoying that they didn't pick up on it sooner and help me, but I am glad that they allow me to get him where I need to without throwing up roadblocks about the referrals.