Practical Forms for Speech-Language Pathology Assistants
SLPA Weekly Activity Record
Supervising SLP:
Week ending:
Total hours week:
Activity Time Spent
1. Direct patient treatment/intervention
2. Observation of other sessions
3. Meeting with supervising SLP
. Other meetings/conferences
Equipment/materials maintenance
6. Documentation
7. Clerical activities
A. Total time directly observed by the SLP
B. Total treatment time provided this week
Percent of time directly observed by the SLP (A/B)
Copy freely American Speech-Language-Hearing Association