Get Articulation Case History Form - Graham Speech Therapy

The Articulation Case History Form is an essential document for understanding a child's speech and language needs. This guide provides step-by-step instructions on how to complete the form online, ensuring that you provide all necessary information for effective assessment and therapy.

Follow the steps to successfully fill out the form online.

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Begin filling out the child's name and date of birth at the top of the form.
3. Provide the parent's name(s), ensuring to include a home phone number, cell phone number, work phone number, and occupation.
4. Input the home address and email address for contact.
5. Specify the child's school, grade, and teacher's name.
6. Indicate who referred your child for assessment.
7. Fill in the doctor's name and phone number to ensure proper communication.
8. In the family history section, identify who the child lives with by checking the appropriate box.
9. List any siblings along with their ages in the provided spaces.
10. Indicate whether any family member(s) has a history of specified conditions by checking 'yes' or 'no'.
11. If applicable, describe any family history concerning speech or language difficulties.
12. Fill in the dates and results of the last hearing and vision screenings.
13. In the feeding/eating history section, check all relevant behaviors that apply to your child.
14. Detail any medical history by checking all applicable conditions and providing further details or dates.
15. Explain any food allergies or aversions your child may have.
16. In the developmental history section, note the approximate ages your child reached specific milestones.
17. Conclude by addressing the speech and language development questions, including whether your child has previously received evaluations or therapy.
18. After completing the form, ensure all information is accurate before saving changes, downloading, printing, or sharing the form.

Start filling out the Articulation Case History Form online today and take the first step in supporting your child's speech therapy needs.