• SLP Patient History Notepad | Speech-Language Pathology Intake Form | 5.5x8.5” | Presenting Concerns, Diet, Strategies, Labs & Notes SLPA
  • SLP Patient History Notepad | Speech-Language Pathology Intake Form | 5.5x8.5” | Presenting Concerns, Diet, Strategies, Labs & Notes SLPA
  • SLP Patient History Notepad | Speech-Language Pathology Intake Form | 5.5x8.5” | Presenting Concerns, Diet, Strategies, Labs & Notes SLPA
  • SLP Patient History Notepad | Speech-Language Pathology Intake Form | 5.5x8.5” | Presenting Concerns, Diet, Strategies, Labs & Notes SLPA
  • SLP Patient History Notepad | Speech-Language Pathology Intake Form | 5.5x8.5” | Presenting Concerns, Diet, Strategies, Labs & Notes SLPA
  • SLP Patient History Notepad | Speech-Language Pathology Intake Form | 5.5x8.5” | Presenting Concerns, Diet, Strategies, Labs & Notes SLPA
  • SLP Patient History Notepad | Speech-Language Pathology Intake Form | 5.5x8.5” | Presenting Concerns, Diet, Strategies, Labs & Notes SLPA
  • SLP Patient History Notepad | Speech-Language Pathology Intake Form | 5.5x8.5” | Presenting Concerns, Diet, Strategies, Labs & Notes SLPA
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SLP Patient History Notepad | Speech-Language Pathology Intake Form | 5.5x8.5” | Presenting Concerns, Diet, Strategies, Labs & Notes SLPA

SLP Patient History Notepad | Speech-Language Pathology Intake Form | 5.5x8.5” | Presenting Concerns, Diet, Strategies, Labs & Notes SLPA

$43.89 CAD
$43.89 CAD
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This thoughtfully structured 5.5” x 8.5” notepad is designed to help SLPs gather essential background information at intake or during initial sessions. Ideal for private practices, school-based clinicians, hospitals, and clinical placements, this form supports efficient documentation while ensuring no vital detail is missed.

Designed in collaboration with a SLP working in the field, Includes Sections For:
- Presenting Complaints/Referral Reason
- Imaging & Reports (e.g., MRI, VFSS, FEES)
- Co-occurring Diagnoses/Conditions
- Current Diet/Nutritional Intake (e.g., PO/NPO, modified textures)
- Previous or Current Strategies Used
- Relevant Labs or Test Results
- Session Notes / Examination Observations

Product Features:
- 50 tear-away sheets for easy use
- Compact half-letter size (5.5x8.5”) — perfect for clipboards or desk use
- Printed on smooth, high-quality 28lb paper
- Suitable for both U.S. and Canadian SLPs
- Great for both adult and pediatric caseloads

Why You’ll Love It:
Whether you’re documenting a dysphagia consult, speech/language delay, or AAC planning, this notepad simplifies your workflow and keeps your documentation streamlined, clear, and clinically relevant.

Optional Add-On: Personalized Black Leatherette Padfolio
Upgrade your notepad with a sleek, professional padfolio—perfect for taking notes on the go or keeping your paperwork organized in style.

This 9" x 7" padded black leatherette padfolio is designed to perfectly hold your 5.5" x 8.5" notepads. It features interior pockets for documents, a built-in card holder, and a secure notepad slot—ideal for clinical rounds, client sessions, or meetings.

Make it truly yours with your initials heat-embossed in elegant gold foil on the front cover.

Padfolio Details:
• Size: 9” x 7” – holds 5.5” x 8.5” notepads
• Faux leather exterior with soft padding
• Interior pocket, business card holder & notepad slot
• Initials personalized in heat-embossed metallic gold foil
• Makes a thoughtful gift for healthcare and education professionals

Add it to your order to elevate your workday with both function and style.

These notepads are all handmade. Please allow for a slight variance in size.
All sales final! Thank you for supporting a small business.

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