Forms Used in the Clinic

• Client Attendance

• Diagnostic Report Format
  Diagnostic Report Sample
• Diagnostic Worksheet
  Diagnostic Worksheet Sample 1
  Diagnostic Worksheet Sample 2
  Diagnostic Worksheet Sample 3
• Diagnostic SOAP for SOE Client

• Initial Therapy Plan Template
  Initial Therapy Plan Sample
• Updated Therapy Plan

• Lesson Plan
  Lesson Plan Sample

• SOAP (Progress) Note
  SOAP Note Sample

• Semester Summary Format

• 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