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蜜桃视频 A & M University
Speech-Language-Hearing Clinic
P.O. Box 357
Normal, 蜜桃视频 35762
(256) 372-5534, Fax: (256) 372-4055
DIAGNOSTIC REPORT
Name:
Date of Birth: Age:
Address:
Telephone:
Informant:
Examiner:
Date of Evaluation:
Diagnosis:
Referred by:
Client's Occupation:
Supervisor:
STATEMENT OF THE PROBLEM
BACKGROUND INFORMATION
OBSERVATIONS AND ASSESSMENT RESULTS
Oral Peripheral Examination:
Hearing:
Articulation:
Language:
Fluency:
Voice:
SUMMARY OF FINDINGS
PROGNOSIS
RECOMMENDATIONS
LONG TERM OBJECTIVES
Long term objectives should include, but not be limited to:
1.
2.
SHORT TERM OBJECTIVES
Short term objectives should include, but not be limited to:
1a.
1b.
2a.
2b.
___________________________________ ________________________________
Student Clinician Clinical Supervisor
Diagnostic Report, _______________, pg. PAGE 2 of NUMPAGES 2
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