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Department of Speech and Hearing Sciences
Clinical Services
Speech Language Pathology Clinic
Clinic Forms
Speech Language Pathology Clinic
Pediatric Speech and Language Therapy
Adult Speech and Language Therapy
Clinic Forms
Forms For Graduate Student Clinician Use
Clinic Enrollment Forms
Case Histories
Adult Case History (PDF)
Child Case History (PDF)
Accent Management Intake Form (PDF)
Designation of Individuals Involved in Treatment Decisions (PDF)
Identification and Emergency Information (PDF)
Legal Release and Request for Admission (PDF)
Release of Information to LU (PDF)
Release of Information to Others (PDF)
Policies & Procedures Informed Consent PHI (PDF)
New Client Information
Clinic Welcome Letter (PDF)
Chronology Sheet (PDF)
ÃÛÌÒÊÓƵ Map (PDF)
Clinical Observation Room Use (PDF)
Handbooks
Externship Handbook (PDF)
Ethics
LUSCH Conflict Resolution (PDF)
Diagnostics
Criteria for Hearing Screening (PDF)
Hearing Screening Form (PDF)
Prutting Checklist Article (PDF)
Oral Mech (PDF)
MBS Order (PDF)
ENT Referral Form (PDF)
DX Checkout Form (PDF)
DX Reserve Form (PDF)
Certification
License and Certification (PDF)
Student Resources
50 Ways to Say "Very Good" (PDF)
APA Style (PDF)
ASHA Exam Advice (PDF)
Professional Writing (PDF)
Using Boardmaker (PDF)
Graduate Survey (DOC)
Phoneme Acquisition Chart (PDF)
Multiple Phoneme Worksheet (PDF)
Clinical Observation Room Use (PDF)
Graphic Organizers (PDF)