Speech and language therapy reassessment for continued treatment: downloadable template

A reassessment report, or bilan de renouvellement, is the document that justifies continuing speech and language therapy in France. Since the request for prior approval (demande d'accord préalable, DAP) was removed on 23 February 2026, its role has changed: no form is sent to the health insurance fund, but the report is now a central document supporting continued treatment, which is reviewed retrospectively.

This page explains what has changed, how a reassessment differs from the initial assessment, and how to structure it, with a ready-to-use template.

What changed in 2026: the DAP was removed

This follows Amendment 19, which had already removed the DAP after the initial assessment. In other words, a form has disappeared, but the clinical assessment and documentation obligations have not.

Initial assessment or reassessment?

A reassessment is not a second initial assessment. Its value lies in comparison:

• The initial assessment establishes the foundations: it sets out the speech and language therapy diagnosis and leads to the prescription and subsequent sessions.
• The reassessment measures progress since the initial assessment and determines whether continued treatment is justified.

In practice, a reassessment that does not refer back to the initial assessment is simply another initial assessment, precisely the issue an audit would identify.

What a reassessment report should contain

1. Summary of the initial assessment. Diagnosis, agreed goals and original care plan.
2. Goal-by-goal comparison. State the status of each area of work using the framework below.
3. Reassessment findings. Quantitative findings, including tests and scores, and qualitative findings compared with the initial assessment.
4. Clinical rationale for continued treatment. Why treatment should continue and how: remaining opportunities for progress, estimated duration, frequency, and individual or group sessions.
5. Planned reassessments. The next review points.
6. Conclusion and communication. A summary sent to the prescribing doctor so that the prescription can be renewed.

The comparison framework at the heart of the report

This is the section a health insurance medical adviser would look for when reviewing your record. For each goal in the initial assessment:

• Achieved: the goal has been met and can be removed from the treatment plan.
• Partially achieved: there has been meaningful but incomplete progress; treatment continues with adjustments.
• Not achieved: the goal remains relevant but requires a different approach; explain why.
• Emerging: a new area of work has become apparent during treatment; describe it and incorporate it into the plan.

Sending the report to the prescriber and keeping a record

Without the DAP, the prescriber becomes the single point of contact for deciding whether treatment continues. A few good practices help reduce the risk of an interruption in care:

• Send the report within a week of the reassessment appointment.
• Keep evidence that it was sent, such as an acknowledgement, timestamp or copy.
• Follow up with the doctor if the renewed prescription has not arrived after about two weeks.

Save time on writing

A reassessment report is demanding: you need to revisit the initial assessment, compare findings point by point and justify continued treatment. Start with a consistent template that includes the comparison framework, standardise how you summarise findings and explain your rationale, and dictate your observations immediately after the reassessment.

This is exactly what Delta does: capture your observations through live note-taking or post-session dictation, and the tool generates a reassessment report structured around your template. Its longitudinal patient memory incorporates the history and goals from the initial assessment, making comparison immediate. HDS-certified hosting, GDPR compliant.

Frequently asked questions