This is a comprehensive case history form for Speech-Language intake/initial evaluations. It is 5 pages long, including 1 extra page with additional questions for English Language Learners.
This form includes information about strengths, concerns, speech, language, voice, fluency, developmental history, language exposure, etc.
There are many case history forms out there, but I had to make my own to make sure it was comprehensive, without being redundant! This form is simple to fill out and at 5 pages, not a daunting task for caregivers.