Date: Client Code: DOB: SPEAK OUT!® Treatment Note Session #: Length of session: ____ minutes 1 2 3 4 5 6 7 8 9 10 Cueing Results Produce spontaneous No cueing conversation at dB. 0 min Warm up voice at dB. mod max Sustain for 0 min “ah” mod max seconds. 0 min Sustain at dB. “ah” mod max Produce vocal glides 0 min mod max at dB. Produce vocal glides with good, 0 min vocal quality (+/-). mod max Recite numerical sequences 0 min mod max at dB. Read phrases / sentences / 0 min mod max paragraphs at dB. Read phrases / sentences / paragraphs at ________dB Complete simple / complex 0 min cognitive-linguistic tasks mod max (workbook) at dB. Complete simple / complex 0 min cognitive-linguistic mod max (tx calendar) at dB. Plan: ( ) progress per treatment plan ( ) update: Home Exercise Program: ( ) complete ( ) incomplete: Comments:
Date: Client Code: DOB: SPEAK OUT!® Treatment Note Session #: Length of session: ____ minutes 1 2 3 4 5 6 7 8 9 10 Cueing Results Produce spontaneous conversation at dB. No cueing Warm up voice at dB. 0 min mod max Sustain “ah” for seconds. 0 min mod max Sustain “ah” at dB. 0 min mod max Produce vocal glides at dB. 0 min mod max Produce vocal glides with good, vocal quality (+/-). 0 min mod max Recite numerical sequences at dB. 0 min mod max Read phrases / sentences / paragraphs at dB. 0 min mod max Read phrases / sentences / paragraphs at ________dB Complete simple / complex cognitive-linguistic tasks (workbook) at dB. 0 min mod max Complete simple / complex cognitive-linguistic (tx calendar) at dB. 0 min mod max Plan: ( ) progress per treatment plan ( ) update: Home Exercise Program: ( ) complete ( ) incomplete: Comments:
Daily-Treatment-Form-.docx