Forms Used in the Clinic
Client Attendance
Diagnostic Report Format
Diagnostic Report Sample 1
Diagnostic Report Sample 2
Diagnostic Worksheet
Diagnostic Worksheet Multiple Cells
Diagnostic Worksheet Sample 1
Diagnostic Worksheet Sample 2
Diagnostic Worksheet Sample 3
Diagnostic SOAP for SOE Client
Diagnostic SOAP Sample
Initial Therapy Plan Template
Initial Therapy Plan Sample 1
Initial Therapy Plan Sample 2
Updated Therapy Plan
Lesson Plan (2 session)
Lesson Plan (1 session)
Lesson Plan Sample (Regular)
Lesson Plan Sample (Baseline)
Lesson Plan Sample with Comments
SOAP (Progress) Note
SOAP Note Sample
Semester Summary Format
Semester Summary Sample
Chart Review (Audit) Policy and Form
Parent Conference Interview
Session Data Log Template
Oral Peripheral Exam
Swallowing Inventory
Clinician Schedule Form
Request for Being Absent
Practicum Hours Forms and Policy
Observation Report
Policy for Counting Clinical Clock Hours
Undergraduate
Instructions for filling out practicum report
Example undergraduate practicum report
Graduate
Practicum Report Form (Graduate)
Graduate Instructions for filling out practicum report
Example graduate practicum report
Supervisor Evaluation Forms
On-Campus Supervisor Evaluation Form
Off-Campus Supervisor Evaluation Form
Clinic Policies and Procedures Manual
Appendix A - ASHA Code of Ethics and Scope of Practice
Appendix B - Clinical Forms (individual forms located on this page)
Appendix C - Sample Reports (individual forms located on this page)
Appendix D - Miscellaneous Handouts
Appendix E - Applications
Appendix F - Externship Contracts
Appendix G - Clinical Fellowship Requirements and Procedures
Appendix H - Standards and Implementation Procedures for the Certificate of Clinical Competence
Appendix I - Maintaining Certification
Appendix J - Guidelines for Speech-Language Pathology Assistants in Alabama
Appendix K - AAMU Clinical Assistant Guidelines
Appendix L - Universal Precautions
Appendix M - HIPAA Compliance
Appendix N - CSD Writing Lab Policies