Speech Therapy Datasheet
I. Patient Information
Patient Name: | [YOUR NAME] |
Date of Birth: | October 13, 2045 |
Gender: | Female |
Phone Number: | [YOUR COMPANY NUMBER] |
Emergency Contact: | [YOUR EMERGENCY CONTACT] |
Relationship to Patient: | Daughter |
Emergency Contact Phone Number: | 555-985-6543 |
II. Medical History
A. Diagnosis
Primary Diagnosis: | Articulation Disorder |
Secondary Diagnosis: | Phonological Disorder |
Other Relevant Medical Conditions: | None |
B. Previous Therapy History
Previous Speech Therapy Sessions: | 12 sessions |
Therapy Provider: | SpeechWorks Therapy Center |
Duration of Previous Therapy: | 6 months |
III. Treatment Plan
A. Goals
Short-Term Goals:
Improve clarity of /r/ and /l/ sounds.
Increase vocabulary by 20 words.
Demonstrate understanding of basic grammar concepts.
Long-Term Goals:
Achieve age-appropriate speech intelligibility.
Expand expressive language skills to include complex sentences.
Develop conversational turn-taking abilities.
B. Intervention Strategies
Speech Therapy Techniques: | Homework Assignments: |
| Practice saying target words daily for 10 minutes. Engage in storytelling with family members. Complete worksheets focusing on grammar concepts.
|
IV. Progress Monitoring
A. Assessment Tools
Baseline Assessment Results: Initial assessment conducted on February 1, 2050, indicated moderate difficulty with /r/ and /l/ sounds, limited vocabulary, and difficulty with basic sentence structure.
Progress Notes: Regular progress notes indicate steady improvement in articulation skills and language development.
Reassessment Results: Reassessment conducted on May 30, 2050, showed significant improvement in articulation and language skills.
B. Therapy Sessions Log
Date | Session Time | Session Focus | Progress Notes |
|---|
March 5, 2050 | 9:00 AM - 10:00 AM | Articulation drills | The client demonstrated improved accuracy in producing /r/ and /l/ sounds. Homework assignments reviewed. |
March 12, 2050 | 9:00 AM - 10:00 AM | Language games | The client engaged actively in language activities, demonstrating increased vocabulary usage. |
March 19, 2050 | 9:00 AM - 10:00 AM | Grammar exercises | The client practiced using correct grammar structures in structured activities. |
V. Collaboration and Recommendations
Collaborating Healthcare Professionals:
Recommendations for Continued Therapy: Continue therapy sessions twice weekly to maintain progress and work towards long-term goals.
Next Appointment: Scheduled for June 15, 2050.
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