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Click ‘Get Form’ to open the Speech Language Report in the editor.
Begin by entering the Claimant's Name at the top of the form. This identifies the student for whom the report is being completed.
In Section 1, specify the Mode of Communication (e.g., Oral, Sign, Total, Non-verbal) to provide context on how the student communicates.
Fill in the Date of Last Formal Speech and/or Language Evaluation in Section 2 to indicate when the last assessment took place.
For Section 3, list any Speech Tests used and provide detailed results including standard scores, intelligibility percentages, and comments on error sounds.
Complete Section 6 by noting any Formal Language Tests used and summarizing current communication abilities.
In Section 8, describe how long the child has received speech therapy and their current progress or prognosis.
Rate the student's receptive/expressive abilities in Section 9 by circling one number for each area based on their performance compared to peers.
Finally, add any Additional Comments or Remarks before signing and dating at the bottom of the form.
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