Kyrene School District #28

Preschool Speech/Language Evaluation Summary

Name
Address

Birthdate
Evaluation Date
Vision Screening Date
Academic History

 Parents
Home School
Examiner
Telephone
Re-Eval. No later than
Audiometric Screening Date
Statement of the Problem


Evaluation Results


Articulation


Oral Mechanism


Voice & Fluency


Language


Vision Screening


Hearing Screening


Clinical Impressions


Recommendations

Has the child been evaluated in all areas of suspected disability? Yes
Is the child's disability a result of cultural disadvantage? No
Is the child's disability a result of an educational disadvantage?No

  
 

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Preschool Speech-Language Specialist

  

presum  7/2000