Communication Disability Assessment
Client Information
Full Name
Date of Birth
Assessment Date
Assessor Name
Assessment Details
Reason for Assessment
Relevant Medical & Communication History
Observed Communication Skills
Speech (articulation, fluency, voice)
Language (understanding, expression)
Non-Verbal Communication
Impact on Daily Life
Participation & Social Interaction
Learning/Employment Impact
Assessment Summary
Summary of Findings
Recommendations
Recommendations/Interventions