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Speech/Language Pathology Progress Note Form Template

Streamline Your Documentation With This SLP Progress Note Template

Keeping track of patient progress can be a time-consuming challenge for speech-language pathologists. This template helps you create clear and concise SOAP notes, ensuring you accurately document and monitor your patients' development. Enjoy benefits like custom fields for detailed observations, easy integration with scheduling for follow-ups, and WCAG-aligned features for accessibility compliance. Use this template to simplify your documentation process today.

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Client full name
Client ID or MRN
Date of birth
Clinician full name
Session date
Attendance status
Attended
Late arrival
No show
Cancelled by client
Cancelled by provider
Visit type
In person
Telehealth (video)
Phone
Home visit
School/community visit
Location
Time in
Time out
Session duration (minutes)
Caregiver present
Yes
No
Interpreter language
Interpreter used
Yes
No
Pain today
None (0)
Mild (1-3)
Moderate (4-6)
Severe (7-10)
Unable to report
Behavior and engagement
Poor
Below average
Average
Good
Exceptional
Participation level
Poor
Below average
Average
Good
Exceptional
Session tolerance
Poor
Below average
Average
Good
Exceptional
Communication modes observed
Verbal speech
AAC device/system
Sign language/gestures
Writing/typing
Picture exchange
Other
Please Specify:
Goals addressed this session
Please Specify:
Goal progress summary
Data and measures (e.g., accuracy, cues, trials)
Cues and supports required
Please Specify:
Overall accuracy today
0-24%
25-49%
50-74%
75-89%
90-100%
Not applicable
Interventions and techniques used
Please Specify:
Materials and tools used
Please Specify:
Response to interventions
Poor
Below average
Average
Good
Exceptional
Adverse events or issues details
Any adverse events or issues today
Yes
No
Caregiver/patient education provided
Yes
No
Education topics covered
Goals reviewed
Techniques demonstrated
Home practice assigned
Device maintenance
Safety/aspiration precautions
Communication strategies
Progress discussed
Plan of care
Other
Please Specify:
Home practice assigned
Yes
No
Home practice instructions
How likely is the client/caregiver to follow the home program
0 Not at all likely
1
2
3
4
5 Extremely likely
Plan
Continue current plan of care
Advance goals/complexity
Modify goals
Add new goal(s)
Refer to another provider
Request re-evaluation
Pause treatment
Discharge
Other
Please Specify:
Next appointment date
Billing or charges notes
ICD/CPT codes
Treatment frequency
1x/week
2x/week
3x/week
Monthly
As needed
To be determined
Consent is up to date
Yes
No
Confidential notes (internal use)
Any HIPAA or privacy issues today
Yes
No
Clinician typed signature (full name)
Date signed
{"name":"Client full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Client full name, Client ID or MRN, Date of birth","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration depicting a progress note form template for speech and language pathology.

When to use this form

This form helps you document each therapy session for pediatric or adult clients in clinics, schools, or telepractice. Use it when you need a clear SOAP-style record of goals, data, cues, and outcomes. It is handy after articulation, language, fluency, voice, or AAC training, and when you coordinate with teachers or caregivers. It reduces rewriting and improves continuity across providers. If you follow SOAP structure, the Soap note form keeps your format consistent. For interdisciplinary care or medical charts, link your entry to the Patient progress notes form. You can also keep a general log alongside this template using the Progress note form.

Must Ask Speech/Language Pathology Progress Note Questions

  1. What were the target goals and functional communication priorities for this session?

    This sets a clear target for the visit and ties tasks to real-world communication needs. It also anchors your note to the plan of care or IEP so progress is measurable.

  2. What objective data did you collect (trials, accuracy, cue levels, and context)?

    Specific metrics turn observations into actionable data. They support medical necessity and make your pattern of improvement easy to review.

  3. What did the client, parent, or teacher report that affects today's treatment?

    Family or teacher input can show generalization, fatigue, or new concerns that change your approach. For school cases, log related contacts using the School counseling progress note form.

  4. What is your clinical assessment of progress, barriers, and response to treatment?

    Your analysis explains why performance changed and what barriers exist, which guides treatment choices. It also justifies continued services by linking data to clinical reasoning.

  5. What is the plan for next steps (targets, home practice, frequency, and referrals)?

    A concrete plan drives continuity between sessions. It also tells caregivers exactly what to do before the next visit.

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