Diagnostic Report Checklist
Use this as a guide to review your reports BEFORE you turn them into the supervisor.
You can copy/paste this table to create a Word Document
Submit this checklist via email when you turn in your report.
| Question | Yes | No |
| 1. Is the identifying information complete (name of client, date of birth, address, telephone number, etc.)? | ||
| 2. Was the report ready on or before the due date? | ||
| 3. Is the chronological age correct? | ||
| 4. Are the complaint and referral sources identified? | ||
| 5. Does your report follow a fully developed history examination-summary/impressions-recommendations structure? | ||
| 6. Is only pertinent history information included? | ||
| 7. Is the report written in correct standard English? | ||
| 8. Is the information well organized and chronologically appropriate? | ||
| 9. Do the impressions rest on the history and examination? | ||
| 10. Has the report been proofread? | ||
| 11. Are all the test results accurate? | ||
| 12. Are all tests fully interpreted? | ||
| 13. Does the summary/impressions section contain only the essential information (nature and severity of speech-language hearing problem, etiology, prognosis)? | ||
| 14. Is the report in correct form? | ||
| 15. Is the report free from grammatical errors? | ||
| 16. Are the recipients of the report identified (cc's)? | ||
| 17. Is there consistency in use of present, past, and/or future tense? | ||
| 18. Is the report concise? | ||
| 19. Have unnecessary words, meanderings, and repetitions been eliminated? | ||
| 20. Are recommendations for speech therapy, reevaluation, and follow-up included? | ||
| 21. Are recommendations based directly on objective interpretation of data? | ||
| 22. Is there a brief statement of recommendations given to the client or parents for alleviation of the problem? |
Each of the above questions should be answered "Yes." If you have answered "No," check that particular aspect of the report BEFORE you turn it into your supervisor.