I usually just lurk, but I have a few questions. My daughter is 4 yrs old. She was diagnosed with low muscle tone at 18 months and did not walk until she was over 2 years old. She received services through EI until she was 3 and now she currently receives PT through the school system on a 504 (step down from a IEP). I have read recent posts in which it was mentioned that their child with low muscle tone had a neuro work up. My daughter never had this done is it something I should look into? A friend suggested that I get her independently evaluated outside of the school system to see if I could get her more services. have you had your child evaluated outside the 'system'. They suggested New England Medical Center (floating hospital for children). Have you been there? Thanks.