Speech and language therapy assessment: report (template)
Speech and language therapy assessment: structure of the report (CRBO), from the initial assessment to renewal, speech and language therapy diagnosis, and care plan. Template to download.
Countries covered : France
The speech and language therapy assessment report (CRBO) is the cornerstone of the patient file: it establishes the speech and language therapy diagnosis, sets the objectives and the care plan, and determines the billing.
This page presents the expected structure, from the initial assessment to renewal, and offers a ready-to-use template.
What is the CRBO used for?
The CRBO formalises the examination: it objectively documents the difficulties, specifies their nature and intensity, and establishes the basis for care. It is also a document for communication (prescribing doctor, family, school) and traceability: it must be kept in the file and justifies the billing.
The structure of a CRBO
- Identification and context. Identity, age, date, prescriber, reason, and complaint.
- Case history. Development, medical history, background, previous care.
- Tests administered. Areas explored and tools used.
- Results. Quantitative data compared to norms, and qualitative observations.
- Analysis and speech and language therapy diagnosis. Nature and intensity of difficulties, impact.
- Therapeutic plan. Prioritised objectives, areas of work, frequency, modalities.
- Conclusion and recommendations. Summary, recommendations, potential referrals.
Initial assessment and reassessment
The initial assessment initiates care. The reassessment, on the other hand, must document progress objectively to justify continuing care, a challenge that has increased since the removal of the DAP (amendment 21). Regular session notes greatly facilitate its writing.
Speech and language therapy assessment template to download
A common framework (CRBO), ready to adapt to the field and fill out after the assessment. Access the PDF by entering your email:
Depending on the area
The assessment varies according to the reason: spoken language, written language, but also speech, voice, fluency, swallowing, neurological disorders. Each area has its own tests and benchmarks; the template above provides a common framework to adapt.
Save time on your reports
The assessment takes a long time to analyse and write. The winning strategy: start from a fixed template, standardise the sections, and write the analysis while observations are fresh.
This is what Delta allows: you capture your observations through live note-taking or post-session dictation, and the tool generates a structured report based on your template, with a longitudinal patient memory from one assessment to another. HDS certified hosting, GDPR compliant.
Frequently asked questions
What is a speech and language therapy assessment report (CRBO)?
It is the formal document that establishes the speech and language therapy diagnosis, sets the objectives and the care plan. It is kept in the patient file and determines the billing.
What must a CRBO contain?
Identification and context, case history, tests administered, results, analysis and speech and language therapy diagnosis, therapeutic plan, and conclusion.
What is the difference between an initial assessment and a reassessment?
The initial assessment initiates care; the reassessment objectively documents progress to justify continuing care, which has been essential since the removal of the DAP.
Is the CRBO mandatory?
The assessment report is the reference document for care: it is kept in the file and justifies the billing.
Does the speech and language therapist make a diagnosis?
The speech and language therapist makes a speech and language therapy diagnosis. Identifying a specific disorder is part of a multidisciplinary approach, using cautious phrasing.
Cut the time spent on your assessments in half
Delta generates your speech and language therapy assessment reports from your live observations or dictation.
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