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This screening form can be given to teachers who wish to refer students for a speech and language screening. Teachers complete the first three pages, with check boxes, rubric, and open-ended response areas to list their concerns for articulation, expressive and receptive language, fluency, voice, and phonological awareness (K-2 specific). Page 4 is a screening results page for SLP use with indications for further evaluation, rescreen at a later date, or no intervention warranted. Page 5 is a form letter explaining the screening to parents/guardians and can be copied for the referral source, the SLP, and other related service providers. Page 5 is a version of the FREE Screening Results Letter that is offered on this store.