Practical Forms for Speech-Language Pathology Assistants
SLPA Site Orientation Checklist Template:
Educational Facility
Physical Environment
Date Covered
Tour of school and SLP work area
Location of therapy materials
Location of main office and office equipment
Location of emergency exits and fire alarms
Emergency Procedures
Date Covered
Fire/fire drills
Tornado
Medical emergency
Bomb threat
Caseload to be Served
Date Covered
Disorders include (circle): language, voice, learning disability, fluency,
phonology, articulation, AAC, hearing impairment, other
Patient age range (circle): 0-3 years, preschool, K-6, middle school, high
school
Cultural and linguistic diversity of caseload
Specific needs relating to linguistic diversity (interpretors, special materials,
etc.)
Special needs of students (glasses, hearing aids, AAC, medication, etc.)
Student Bill of Rights
Confidentiality of issues related to student/family (FERPA)
Documentation
Date Covered
Session notes/cosignatures
Third party funding forms (Medicaid)
SLPA work logs
Supervisory forms
Time sheets
Computer documentation system
Communications
Date Covered
Meetings with supervisor
Mandatory staff meetings
Parent/guardian communications (IEPs, conferences)
Inservices
Telephone and email use
Paging system
Scheduling
Copy freely American Speech-Language-Hearing Association
