Lori, that sounds incredibly frustrating, and I would have been furious with the doctor for not signing. My oldest had all those issues of needing support in a chair, etc as well. We did not quite get the help we needed either, but that child has ended up compensating for all of it extremely well. I'm sure your child will do well too, and btw I am glad there is no swallowing issue for your child. Those are quite scary.