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  • Adult Voice Case History Form - Princeton Speech

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ADULT VOICE CASE HISTORY FORM Name: Date of Birth: Address: Age: Referring physician: Phone: Pertinent Medical Diagnosis : Primary Language Other Language spoken: Family physician: Phone: Reason for.

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The Case History identifies any red flags that may be a factor or a contributing factor to Speech and Language difficulties. The Case history may take 15 minutes to 30 minutes before the Speech Therapist starts to testing the child.

Standardized and/or non-standardized measures of specific aspects of speech, spoken and non-spoken language, cognitive-communication, and swallowing function, including observations and analysis of work samples. Identification of potential for effective intervention strategies and compensations.

An evaluation is in depth and can result in a diagnosis and a plan of treatment. It requires a significant intake process and analysis. A screening is brief and allows the professional to get some basic information to determine if a more in-depth analysis is needed.

Speech pathology began to get recognition in the 1920s when the American Academy of Speech Correction was formed in 1926. It began to develop over the next twenty years as speech therapy approaches became more widespread. At this time WWII was going on, and soldiers were returning home with brain injuries.

The Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) was developed as a tool for clinical auditory-perceptual assessment of voice. Its primary purpose is to describe the severity of auditory-perceptual attributes of a voice problem, in a way that can be communicated among clinicians.

Has your child ever had speech therapy? Has your child received any other evaluation or therapy (physical therapy, counseling, occupational therapy, vision, etc.)? Was there anything unusual about the pregnancy or birth? How old was the mother when the child was born?

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232