Clinic Manual of Operation
Manual of Operation
Appendix B - ASHA Code of Ethics
Appendix D - Observation Guidelines
Appendix F - Fire and Medical Emergencies Policies
Appendix G - Articles on Infection Control
Appendix H - Audiology Billing
Appendix I - Diagnostic Billing
Appendix J - Billing and Payment Record
Appendix K - Fee Reduction Request Form
Appendix L - Therapy Session Feedback
Appendix M - Diagnostic Session Feedback
Appendix N - Speech-Language Pathology Practica Grading Sheets
Appendix O - Clinical Encounter Form
Appendix P - Mid-term Practicum Review Form
Appendix Q - Final Practicum Review Form
Appendix R - Speech-Language Pathology Student in Audiology Practicum
Appendix S - Clinical Support Plan
Appendix T - Clinical Clock Hour Summary
Appendix U - Student Evaluation of Clinical Supervision
Appendix W - Audiology Follow-Up Appointments
Appendix X - Application Packet Materials
Appendix Z - Letter Requesting Information from Other Providers
Appendix BB - Child Case History - Audiology
Appendix CC - Adult Case History - Audiology
Appendix DD - Adult Case History - Speech-Language
Appendix EE - Child Case History - Speech-Language
Appendix FF - Hearing Screening
Appendix GG - Authorization to Use Clinic Materials
Appendix HH - Pure Tone Audiogram
Appendix II - Serial Audiogram
Appendix JJ - Diagnostic Planning Worksheet
Appendix KK - Release of Information
Appendix LL - Report Cover Letter
Appendix MM - Therapy Reservation Form
Appendix NN - Standard Report Titles
Appendix OO - Diagnostic Report Format - Speech-Language Pathology
Appendix PP - Checklist for Processing Diagnostic and Audiology Reports
Appendix QQ - Client Files: Order of Information
Appendix RR - Student Schedule Forms
Appendix SS - Session Plan Guideline/Example
Appendix TT - SOAP Note Guideline/Example
Appendix UU - Chronological Summary of Activity
Appendix VV- Term Treatment Plan
Appendix WW - Communication Progress Summary
Appendix XX - Case Observation Form
Appendix YY - Inter-Center Referral Form
Appendix ZZ - CCD Staff Qualifications and Responsibilities
Appendix AAA - Non Contact / Modification Time Submission Form