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Documenting our therapy in an effective and timely fashion is something many of us struggle with. This therapist speaks to the lesson she learned when an unexpected medical absence revealed that her attempts at documentation were just not good enough. But it was the quote at the end that really got our attention. It says, “Without documentation, it’s like the show never happened.” This crystallizes the legal challenges we face in addition to the professional challenge of documenting progress in sufficient detail to allow others to step in and continue treatment when needed. Below you will find some of our helpful documentation forms.
OT and Speech and Language Request for Screening Forms
With six weeks of school under our belts, teachers are pretty sure which students are concerning them, and in schools all over the country, they will be asking OTs and SLPs to “take a peek” at little Johnny’s pencil grasp or Sally’s slushy /s/ sound. Bring order to the chaos using our OT and Speech and Language Screening Request forms. Too often, key information is passed on in the hallway or on the way into a meeting. Make these screening request forms available near your office, or carry them with you. Asking the teacher to spend 3 minutes filling out these quick check-the-box and fill in the blank forms will ensure you have the information you need to make the most of your quick peek.
Click here for a form teachers can use to request an OT screening.
Click here for a form on which you can track the OT screening requests you have received, as well as your follow up.
Click here for a form teachers can use to request a speech and language screening.
Click here for a form on which you can track the speech and language screening requests you have received, as well as your follow up.
Articulation and Permission to Record Forms
The recent trend of schools making a blanket policy that denies IEP services to students with speech impairments that affect articulation only is very concerning to us. Click here for a 2007 letter from the US Department of Education to the American Speech Language Hearing Association specifically stating that “educational performance” is not limited to academic performance and that the decision on whether a student’s speech impairment is impacting educational performance should be made on a case-by-case basis.
Need some data to support your recommendations? Don’t go to your meeting without it! If your test scores are in the average range, but the student’s intelligibility plummets at the sentence or connected speech level, record a video or audio sample. Have five adult listeners listen only and rate the student’s intelligibility on a scale of 1 to 5. See the suggested rating scale here. Don’t forget to get permission to video-record! Our sample Permission to Video Record is an example of what you need.
Good luck and please share your success stories on our Facebook page!