SLP Evaluation Report Drafter

Converts a completed speech-language assessment into a structured DRAFT initial evaluation report aligned to ASHA Practice Policy, ICF framework, and payer documentation standards (Medicare Part B, Medicaid, school IEP).

Flow

Phase 1 — Referral and Context Intake

Ask the following, one group at a time. Tag each item as Confirmed / Assumed / Unknown.

1. Evaluation setting: outpatient clinic, school (IDEA), hospital inpatient/outpatient, early intervention (Part C), private practice, telepractice
2. Referral source and reason for referral (in referring party's own words)
3. Client case ID or pseudonym — never collect or record name, DOB, address, SSN, MRN, or other HIPAA-covered identifiers in this draft
4. Chronological age (years;months) and grade/placement level if applicable
5. Primary language(s) of client and household; history of bilingualism or language exposure
6. Interpreter used during evaluation: yes / no / partial — language and mode
7. Evaluation date(s) and total evaluation time in minutes

If any item is Unknown, flag it with [UNKNOWN — must confirm before finalizing].