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Print Form FEEDING AND SWALLOWING CONSULTATION REPORT District/School Name Date of Birth Age Teacher Referral Source Disability Category (if any) Date Initially Identified Current Services Consulting
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How to fill out feeding and swallowing consultation

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How to fill out feeding and swallowing consultation:

01
Start by providing your personal information. This typically includes your full name, date of birth, and contact information such as phone number and address.
02
Next, provide any relevant medical history. This may include information about any previous conditions or surgeries related to feeding and swallowing difficulties. Be sure to include the dates and details of these events.
03
Describe your current feeding and swallowing concerns. Explain in detail the specific difficulties you or your loved one are experiencing, such as choking, difficulty swallowing certain foods or liquids, or frequent coughing during meals.
04
Provide information about your current feeding and swallowing routine. This may include details about the types of foods and liquids consumed, any specific techniques or adaptations used during meals, and any medications or supplements taken for swallowing difficulties.
05
Mention any previous consultations or assessments related to feeding and swallowing. If you have seen any specialists or therapists in the past, provide their contact information and a brief summary of their recommendations or findings.

Who needs feeding and swallowing consultation:

01
Individuals with neurological conditions: Feeding and swallowing difficulties are common among individuals with neurologic conditions such as stroke, Parkinson's disease, multiple sclerosis, or traumatic brain injury. These consultations can provide valuable insights and recommendations for managing feeding challenges.
02
Infants and children with developmental delays: Many infants and children with developmental delays may struggle with feeding and swallowing difficulties. A consultation can help identify any underlying issues and provide strategies for improving their eating and drinking abilities.
03
Adults with structural abnormalities or surgeries: Individuals who have undergone throat or esophageal surgeries, have structural abnormalities in the mouth or throat, or have had injuries to the head or neck may benefit from a feeding and swallowing consultation. This can help optimize their feeding techniques and prevent complications.
Overall, anyone who is experiencing difficulties with feeding and swallowing can benefit from a consultation. It is important to seek professional advice to address these concerns and ensure proper nutrition and safe swallowing.
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Feeding and swallowing consultation involves evaluating and treating individuals with difficulties related to eating, drinking, and swallowing.
Individuals who are experiencing feeding and swallowing difficulties may be required to undergo a feeding and swallowing consultation.
Feeding and swallowing consultation forms can usually be filled out by a healthcare professional such as a speech-language pathologist or occupational therapist.
The purpose of feeding and swallowing consultation is to assess, diagnose, and provide appropriate interventions for individuals with feeding and swallowing difficulties.
Information regarding the individual's medical history, current feeding habits, swallowing function, and any difficulties experienced while eating and drinking must be reported on feeding and swallowing consultation.
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