Provo City School District Voice Quick Screening
This document is a quick screening form for assessing voice concerns in Provo City School District. It guides speech-language pathologists through a series of checks related to respiration, phonation, resonance, and nonverbal vocal range. The form helps in identifying voice disorders and determining if a detailed evaluation is needed.
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How do I fill this out?
To fill out the Voice Quick Screen, ensure you have a quiet environment and all relevant information at hand. Conduct the verbal activities as instructed and mark your observations. A failed result indicates the need for a more thorough evaluation.
How to fill out the Provo City School District Voice Quick Screening?
1
Find a quiet area for the screening.
2
Conduct verbal activities as described in the instructions.
3
Mark observations in the respective sections.
4
Evaluate if any disorders are present.
5
Decide if a further detailed evaluation is required.
Who needs the Provo City School District Voice Quick Screening?
1
Speech-Language Pathologists who need to assess voice concerns in students.
2
Parents who are concerned about their child’s voice and speech development.
3
Teachers who observe potential voice issues in their students.
4
Healthcare professionals who need to screen for voice disorders.
5
School administrators who require documentation of voice screenings.
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Save and download the edited PDF for submission or record-keeping.
What are the instructions for submitting this form?
Complete the form and review all observations. Email the completed PDF to the designated speech-language pathologist or healthcare provider. Alternatively, submit it via the provided online submission form or send a physical copy to the relevant office or address. Ensure that all sections are thoroughly filled and signed, if required.
What are the important dates for this form in 2024 and 2025?
Important dates are not specified in the given document content for 2024 and 2025.
What is the purpose of this form?
The Provo City School District Voice Quick Screening form is designed to assess voice-related concerns in students. The form guides speech-language pathologists in conducting screenings efficiently. It ensures that any identified voice disorders are documented and a thorough evaluation is recommended if necessary.
Tell me about this form and its components and fields line-by-line.
- 1. Name: The name of the individual being screened.
- 2. Birthdate/Age: The birthdate and age of the individual.
- 3. Date: The date when the screening was conducted.
- 4. Parent Name: The name of the individual's parent.
- 5. Speech-Language Pathologist: The name of the speech-language pathologist conducting the screening.
- 6. Speech-Language concerns/services: Any concerns or services related to speech-language.
- 7. Hearing concerns/status: Any concerns or status related to hearing.
- 8. Pertinent medical and social history: Relevant medical and social history information.
- 9. Respiration: Observations related to respiration during speech.
- 10. Phonation: Observations related to the quality of voice production.
- 11. Resonance: Observations related to the resonance of the voice.
- 12. Nonverbal Vocal Range and Flexibility: Tasks to assess vocal range and flexibility.
- 13. Comments/Observations: Space for additional comments and observations.
What happens if I fail to submit this form?
Failure to submit the form may result in delayed identification of voice disorders and necessary interventions.
- Delayed Diagnosis: Potential voice disorders may not be identified promptly, delaying necessary treatment.
- Lack of Documentation: Important observations and concerns may not be documented, impacting future assessments.
- Missed Interventions: Necessary interventions may be missed, affecting the individual's speech and language development.
How do I know when to use this form?
- 1. Initial Concerns: When initial concerns about voice quality or speech are observed in an individual.
- 2. Routine Screenings: During routine screenings conducted by speech-language pathologists.
- 3. Referral by Teacher: If a teacher refers a student for voice-related concerns.
- 4. Parental Request: When a parent requests an evaluation for their child's voice and speech.
- 5. Healthcare Referral: If referred by a healthcare professional for voice assessment.
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