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Speech, Language and Communication Service to Mainstream Schools Referral Form Name of pupil: ........................................................................... Date of birth: ................................... Address:
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Start by understanding the goals and objectives of the speech language and communication form. Familiarize yourself with the purpose of the form and what information needs to be provided.
02
Begin by entering your personal details accurately. This may include your name, contact information, and any relevant identification numbers or codes.
03
Provide information about your speech language and communication abilities. This may involve answering questions or rating your skills in various areas such as articulation, receptive language, expressive language, fluency, and social communication.
04
Include any relevant medical or educational history related to speech language and communication. This could involve providing details of any diagnoses, therapy or intervention received, and progress made.
05
Describe any current challenges or concerns you have regarding speech language and communication. Be specific and provide examples to help the reader understand your situation better.
06
If applicable, provide information about any assistive devices or technologies you use to support speech language and communication. This could include devices such as augmentative and alternative communication (AAC) systems or hearing aids.

Who needs speech language and communication?

01
Children: Speech language and communication skills are essential for children as they develop language abilities, social interaction, and academic success. Children with speech and language disorders or delays may benefit from speech therapy and intervention to improve their communication skills.
02
Adults: Speech language and communication skills are crucial for adults in various aspects of life, including work, relationships, and overall well-being. Adults with communication difficulties, such as those with stuttering, aphasia, or voice disorders, may seek therapy to enhance their communication abilities.
03
Individuals with medical conditions: Some medical conditions, such as traumatic brain injury, stroke, Parkinson's disease, autism spectrum disorder, and hearing loss, can significantly impact speech language and communication. Speech therapy and communication strategies can help individuals with these conditions improve their communication and regain functional abilities.
In conclusion, anyone who wants to improve their speech language and communication abilities or has specific concerns or disorders related to communication may benefit from filling out a speech language and communication form and seeking appropriate intervention or therapy.
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Speech language and communication refer to the ability to express thoughts, feelings, and information through spoken or written words.
Parents, teachers, and speech therapists are required to file speech language and communication for individuals who may have communication difficulties.
Speech language and communication forms can be filled out by providing detailed information about the individual's communication abilities, challenges, and any interventions or strategies being used.
The purpose of speech language and communication reports is to track progress, identify areas of improvement, and ensure individuals receive appropriate support and interventions.
Information that must be reported includes communication goals, assessment results, therapy strategies, progress notes, and recommendations for further interventions.
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