​​Who to Refer Handout for teachers from Michele Burton, BCIU #22, to inform teachers

about the role of the SLP and types of students the SLP can treat. Posted 8/27/07.

Who to Refer
Therapy Sticker Chart  Posted 7/12/06Speech Sticker Chart
Information for Parents Posted 7/25/06Parent Information Form
Speech Rules Poster Created by Melody. Posted 2/16/07
Speech Rules Poster
Speech/Language Referral Form for teachers. From Rebecca Boyer. Posted 10/29/06.
Referral Solicitation
Phonology Record Chart for Speech Folders From Emily in Iowa. Posted 1/9/06.
Folder Phono Records

Labels for Session Notes. Print on Avery 8160 (1x2.63 size) labels. Peel off the label for each

student and place on their log sheet,. From Kelli R. and Deb M in Iowa. Posted 1/9/06.

Therapy Labels.doc


Articulation Assignments Print on Avery 8160 labels. Peel off the label for each student

and place on their speech folder for a quick homework assignment. From Sue in Iowa. Posted 1/25/06.

Artic Assignments

Graphing Tool for Hodson's Phonology Requires Excel software. Record student performance.

Graph will be created. Posted 1/15/06.

Hodsons.xls
SLP/Teacher Communication Forms

Class Comm Assessment

Teacher Collaboration Form

Student Self-Evaluation Checklists for listening behaviors, social

communication, written language, fluency


Listening Checklist

Social Communication Checklist

Written Language Checklist

Fluency1 Speak Slowly

Fluency2 One Word

Fluency 3 Breathing

Fluency 4 Gentle Voice

Fluency 5 Gentle Touch

Fluency 6 Keep Moving

Fluency 7 Speech Helpers

Listening and Speaking Cues Checklist.  An aid for support staff, parents, tutors to help them monitor

their own speech and listening when working with students.

Listening and Speaking Cues
Blocker Pages for game-making

Blocker page directions

Blocker page1

Blocker page2

Progress Log Pages for Speech and Language

Progress Notes Instruction

Progress Notes1

Progress Notes2

Speech Folder Form to inform students and parents of therapist's name,

schedule, and therapy goals. Posted 9/12/05.

Speech Intro

Holiday Time-Savers Print and save these Holiday Certificates and Thank You

notes for use year 'round.

Holiday Certificate

Thank You Notes

Homework PassHomework Pass
Speech Room Poster to welcome students, teachers, and parents into your therapy room
Speech Room Poster
Speech Homework Reminder

Speech Homework Description

Speech Homework Reminder

Speech/Language Folder and Portfolio Cover Pages by Amy Stalletti, BCIU #22

SpeechFolderCover

Speech Portfolio1

Speech Portfolio2

Speech Portfolio3

Speech Portfolio4


Speech Class Pledge Joan Altimore uses this at the beginning of each session to remind

students they are responsible for their own progress. A copy of the pledge is also

in their speech folder.

Speech Class Pledge
Classroom Cues for Inclusion Students

InclusionPromptDirections

Class Cues

Classroom Procedures Poster Hand out individual copies or blow up to poster size.

From Jamie Rieger. Posted 7/19/07.

Classroom Procedures
Classroom Rules Poster to reinforce good behavior. From Indira Morales. Posted 10/14/07.
Classroom Rules

Speech Points Use this reward system with secondary students. During each session students

receive points for participating, following directions, etc. Students record points in columns,

and add up at the end of the session. Once they reach 500 pts, they earn a free homework pass.

Add additional prizes at various levels. Created by Abby Chibnik. Posted 11/3/07.

Speech Points
Speech Time Reminders to promote independence in coming to therapy. Posted 12/2/07.

Speech Time Description

Speech Time Reminders

Folder Theme Labels to organize speech therapy materials.  Print on an Avery label formatted sheet

(30 labels per page) for easy use. By Summer Bell Tucker.  Posted 3/19/08

Folder Theme Labels1

Folder Theme Labels2

Great Speech News to promote carryover of skills in the classroom. By Pat Mervine. Posted 3/19/08.
Great Speech News
Questionnaire for S/L Referral Created by JoAnne Tully.  Posted 6/5/08
Questionnaire for S/L Referral

Speech Clocks to notify students and teachers of therapy sessions.  Contributed by

Michele Burton, BCIU #22.  Posted 8/30/08.

Speech Clocks Directions

Speech Clocks 

IEP Dates Calendars to keep track of IEPs and Reevaluation Date throughout the year.  Posted 8/30/08.

Semester 1 Chart

Semester 2 Chart

Data Sheet for a 9 week semester. Created by Leslie Jerger.  Posted 9/28/08.
Data Sheet
Eval Chart for keeping track of timelines. By Amy Staletti, BCIU #22.  Posted 9/28/08.
Eval Chart

Good Speech Chart (blank & example for December).  These can be used for reinforcing

self monitored speech in the classroom.  The teacher can put a smiley face twice a day

for the times the student uses good speech.  The month can be written in the squares

on the sides with pictures to illustrate.  The dates can be written in the upper right corner

of each day on the calendar.

Good Speech Chart  (blank)

Good Speech Chart  (December)

Labels for Homework and Parent Feedback with Parent Letter (Word documents).  Created by

Paula Townsend.  Posted 1/25/09.  

Homework Labels

HomeworkLabel Instructions

Homework Parent Letter

Speech Class Rules by Sherri Hudson.  Posted 1/25/09.

Speech Class Rules1

Speech Class Rules2

Speech Class Rules Explanation

Caseload Management Materials Created by Megan Hojnacki.  Posted 3/29/09

Speech Canceled

Speech Pass

Testing in Progress

S/L Therapy Note to Home to inform parents as to what the student did in therapy and

what homework is to be done.  Created by Michele Burton, BCIU #22.  Posted 3/31/09.

Home Note
Sample SLP Schedule Created in Excel by Chris Neveux.  Posted 6/8/09.
Sample SLP Schedule
Rules for Speech Class Created by Jennifer Kupchik.  Posted 9/13/09.
Speech Room Rules

Great Start Letter An intro letter to parents to give number, days the child receives speech,

and a heads-up for their IEP dates. -- a Word doc that can be personalized.  Created by

Molly Fitzgerald.  Posted 10/15/09.

Great Start SOS
​Materials for Caseload Management by Jessica D.  Posted 5/6/10.

Teacher Goal Input

Teacher Verification Review

RtI Multicultural Interview

RtI Classroom Language Checklist 

Master Schedule 

Articulation Screening Review 

Speech Poster First Then

Speech Contract by Brianne Ruhnke. Posted 5/6/10.
Speech Contract

Accommodations Request Form To elicit effective strategies and accommodations from students.

Created by Amy Werrett. Posted 6/23/10.

Accommodations Request Form
Bring a Friend To Speech Letter by Mary Ellen Legg.  Posted 6/23/10.
Bring a Friend to Speech Letter
Early Childhood Materials by Jessica D. Posted 10/10/10.

Early Childhood Case History

3 yr language sample

4 yr language sample

5 yr language sample

School Age Materials by Jessica D. Posted 10/10/10.
Sound Improvement Class Letters
Teacher IEP Notification
Speech Observation Form Submitted by Crystal Sanford. Posted 10/10/10.
Student Observation Form 
Effect of Speech/Language Disorders on Academic Performance  Posted 9/1/11.
Effect of Speech/Lang
Teacher Referral Form  Created by Sheila Seal.  Posted 10/16/11.
Teacher Referral Form

Percentage Calculator Reference Chart X axis is the number of trials, Y axis is the number

of correct responses.  Created by Viola Lohr.

Percentage Reference Chart 
Thank you Note to Student Teacher  Created by Kelly Smith-Vernon.  Posted 2/17/13.
Thank you note/Student Teacher
Speech/Language Consulting Documentation Created by Sarah Rooney.  Posted 11/7/13.
S/L Consulting Documentation











































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