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SPEECHLANGUAGE SCREENING SUMMARY Students Legal Name: Birth date: C.A. Yrs. Mos. Teacher: Grade: Date: Parents Name: Resident District: Address/City/Zip Home School: Serving District: Therapist: I.
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How to fill out speech-language screening summary

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Who needs speech-language screening summary?

Speech-language screening summary is typically required for individuals who are undergoing a speech-language evaluation or assessment. This can include children, adolescents, or adults who may be experiencing speech or language difficulties.

How to fill out speech-language screening summary?

Start by providing personal details:

On the top of the form, fill in the name, age, and gender of the individual being screened. Include any relevant identification numbers or patient reference numbers if applicable.

Describe the purpose of the screening:

Indicate the reason for the speech-language screening, such as concerns about speech development, language difficulties, articulation issues, or language delays.

Note the screening process:

Mention the specific screening tools or assessments used during the evaluation. Provide details about the various components of the screening process, such as oral motor examination, articulation assessment, language comprehension test, etc.

Summarize the findings:

Provide a clear and concise summary of the results obtained from the screening. Include both qualitative and quantitative information, such as any significant speech or language difficulties identified, level of severity, and specific areas of concern.

Include observations and recommendations:

Document any pertinent observations made during the screening, such as difficulties with certain speech sounds, limited vocabulary, or poor sentence structure. Based on the findings, make recommendations for further evaluations, therapy services, or interventions that may be beneficial for the individual.

Provide additional information:

Use this section to include any additional relevant information, such as previous therapy history, medical conditions, or any other details that may impact the overall assessment of the individual's speech and language abilities.

Obtain necessary signatures:

Ensure that the speech-language screening summary is signed and dated by the professional who conducted the evaluation. Additionally, if applicable, obtain consent from the individual or their legal guardian to share the findings with relevant healthcare professionals or educational institutions.
Remember, it is crucial to follow the specific guidelines provided by your speech-language pathology clinic or organization when filling out the speech-language screening summary.
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The speech-language screening summary is a report that summarizes the results of a speech and language evaluation for an individual.
Speech-language pathologists and other healthcare professionals are required to file the speech-language screening summary.
The speech-language screening summary should be filled out with the individual's personal information, evaluation results, and any recommendations for further treatment.
The purpose of the speech-language screening summary is to provide a concise overview of an individual's speech and language evaluation for healthcare professionals and caregivers.
The speech-language screening summary must include the individual's name, evaluation date, evaluation results, and any recommendations for treatment or further evaluation.
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