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Panda Speech Therapy

The School SLP Case Management Kit ~ The forms you wish you had!

The School SLP Case Management Kit ~ The forms you wish you had!

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Regular price $22.00 CAD
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HUGE UPDATE! This was formally known as the "Referral Kit" but I added so much more to it to make  Case Management in the schools easier for you. 

I created these forms, checklists, and documents after working in the public school systems for 11 years. The forms that were given to me didn’t quite meet my needs, so I created my own. I used these in addition and to some of the district’s forms. These forms will help you collect the necessary information to complete your speech and language evaluations in the schools, case manage, and complete other documentation tasks. They can also be used in a clinic if desired. Make sure you follow your district’s/clinic’s referral and case management policies when using these forms. PLEASE NOTE: You must follow your state, district, campus, clinic guidelines when completing all task related to your specific positions. These forms were not intended to replace any forms that are a part of your required job duties. If you have any questions on whether these forms can be used at your workplace, refer to your supervisor.
*Please note: This is for the use of 1 SLP. If you would like to inquire about a district or campus license for all of these forms, please email office@pandaspeechtherapy.com. 
WHAT'S INCLUDED:
  • Printable forms (see list below)
  • Fillable forms (fillable PDFs of most of the printable forms)
  • Example Google Spreadsheets
  • IEP Case Management
  • Evaluations
  • AAC Devices
  • Example Google Forms
  • Teacher input (case management)
  • Teacher input (speech only)
  • Caregiver input

SPECIFIC FORMS PRINTABLE AND SOME FILLABLE PDFS:
  • Pages:3-4 Pre-Referral Form for teachers: This is to be given to teachers before an referral is initiated if they are reporting concerns with speech and language (includes a checklist for speech sounds)
  • Page 5: Information from teachers cover letter.
  • Pages 6-8: Prek-1st grade: This form is similar but asks about skills such as letter identification, sound identification, rote counting, colors, shapes, etc….
  • Pages 9-12: 1st grade and up: This form will collect all needed data from teachers about the student’s academic progress and standing. It collects current grades, strengths/weaknesses, and concerns in other areas such behavior, speech/language, motor skills, and counseling.
  • Pages 13-17: Speech and Language Teacher input forms (five forms): 1. Articulation 2. Stuttering 3. Language 4. Pragmatics 5. Voice
  • Page 18: Observation form: The standard form most districts use did not meet my needs for speech and language evaluations, so I created my own (one page, simple and easy to use).
  • Page 19: Contact form: I keep a contact log in my referral paperwork, this is important if you are having difficulty getting a hold of parents and approaching timeline deadlines.
  • Pages 20-23:Caregiver information/case history: I designed this form to be simple and quick for parents to fill out (or use it as a guide for a parent interview). This information will help you fill out the medical history and sociological sections of the evaluation. My forms are inclusive and can be used for any family structure (father/mother, mother/mother, father/father, caregiver, etc…)
  • Pages 24-25: Caregiver information/case history for RE-EVALUATIONS: Shorter form to get updated information from parents.
  • Pages 26-29: Play Based Speech and Language Assessment Form: Handy form to have out when doing play based assessments. Great if formal assessments are not appropriate or could not be completed. Includes a 50 utterance MLU calculating chart
  • Page 30: Release: This is a general release form if you need it. Many schools already have one but I liked this one better and used it at my previous district.
  • Page 31: Clinic vs. School services: This is a great handout to give at the initial meeting. Sometimes parents do not understand the difference between these models.
  • Pages 32-33: Eligibility vs. Diagnosis handout: Many times parents confuse school eligibility with medical diagnosis (especially for Autism in my experience). This handout explains the differences between Special Education Eligibility, 504 Eligibility, and a Medical Diagnosis.
  • Page 34: Strategies for teachers: This is a great one page guide for teachers (covers articulation, language, stuttering, and social skills.
  • Page 35: Parent Questionnaire. I send this out at the beginning of the year or when I get new students to get to know them better. It has information about the child’s interests, strengths, family activities, outside services, and other relevant information. It also has a section for religious or cultural considerations (example: if the student doesn’t observe certain holidays, etc..). Some of the questions are similar to the case history form.
  • Page 36: Dismissal considerations form: I use this form when I am considering dismissing students. It is helpful for older students who may continue to have communication needs. It guides you through all considerations.
  • Pages: 37-38: Helpful checklists: IEP checklists (page 37: SLP Case manager, page 38: Service provider only)
  • Pages 39-40: Helpful checklists: Evaluation checklists (page 39: initial, page 40 re-evaluations)
  • Page 41: Example impact statements (these are examples only, you MUST include specific student details.
  • Page 42: Goal writing cheat sheets: Helpful tips when writing goals.
  • Page 43-47: Helpful checklists: Monthly at a glance and therapy planning: (page 43: monthly IEP cheat sheet form, page 44: themes by month, page 45: blank themes by month, page 46: Therapy planning guide by month, page Page 47: monthly therapy planning form).

Many special education software programs have built in forms like this, but like I mentioned, did not meet my needs. You can scan these forms into your special education software program if needed, always check with your supervisor first!

Look at the preview to see what they look like.
Please email me BEFORE purchase with any questions: office@pandaspeechtherapy.com

ZIPPED FILES
This product will be delivered in a zipped file (multiple files compressed into one) If you are trying to download it on a phone or tablet it will be difficult (you may need a special app). I recommend downloading on a computer first. On a PC after it downloads, right click and select extract all. On a Mac just double click and it will automatically unzip. If you are having difficulty with the zipped file you will need to contact TPT or your IT department. Panda Speech can provide very limited tech support on your specific computer/device/network, beyond the basic below.

To unzip on a Mac:
  1. Double click the zipped file.
  2. The file will automatically be decompressed by Archive Utility into the same folder the compressed file is in.
  3. Access the extracted files by clicking the appropriate icons.
  4. You can drag them into a file on your computer or add them to your Google Drive or Dropbox.
To unzip on a PC:
  1. Double-click the zip file you want to unzip OR right-click to select Extract All, and then follow the instructions.
  2. The zip file will open a folder, showing you the individual files inside.
  3. Select all the files and drag them out of the folder to another location on your computer.

***This is a digital download, you are responsible for printing the product to use.  This purchase is a ONE user license, sharing this file in any way is not permitted. Please respect copyright laws. Exception: You may share a page with your student's caregiver for home practice. 

 
 
This item is a recurring or deferred purchase. By continuing, I agree to the cancellation policy and authorize you to charge my payment method at the prices, frequency and dates listed on this page until my order is fulfilled or I cancel, if permitted.

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DIGITAL DOWNLOAD- NO RETURNS OFFERED (by purchasing this item you are agreeing to this policy)

Physical Product: Refunds are accepted if item arrives damaged or not as described.

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The School SLP Case Management Kit ~ The forms you wish you had! The School SLP Case Management Kit ~ The forms you wish you had! The School SLP Case Management Kit ~ The forms you wish you had! The School SLP Case Management Kit ~ The forms you wish you had! The School SLP Case Management Kit ~ The forms you wish you had!
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    By purchasing this product, you understand that due to the digital nature, no refunds will be provided. Please ask questions BEFORE you purchase (mandi@pandaspeechtherapy.com)

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    Paid Product: This is a single user license ONLY. DO NOT share, copy, email, save to a shared drive, or redistribute this file in any way. If you wish to share with a colleague, please purchase an additional license or direct them to my store. For bulk orders email: mandi@pandaspeechtherapy.com
    Free Product: Single user download ONLY! Please direct others to my store if you want to share! 

    *You may not copy any part of this document (content, layout, format, idea, design) and reproduce it or create a similar product using my idea. All rights reserved to Panda Speech, LLC. This original activity was imagined and created by Amanda Schaumburg, all rights reserved. PLEASE RESPECT COPYRIGHT LAWS!!
    **If you are a therapist or educator, you may share a printed copy of a page to your client's caregiver for home practice (this is the only sharing permitted). 
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