Speech and Language Therapy Consent for Assessment being able to understand information. I am a Speech and Language Therapist. I help people with their communication. Communication means… Being able to tell people what you want and what you think This information has been rated by NHS Fife, Good Information Fife Team

Speech and Language Therapy Consent for Assessment I would like to find out more about your understanding, and the things you find easy or hard. I might talk to you. I might talk to your carers I might ask you to look at some pictures Yes No Would this be ok?

Speech and Language Therapy Consent for Assessment I would like to find out more about how you communicate I might ask you and your carers about your talking I might ask you and your carers about the signs you use I might ask you and your carers about any pictures you use Yes No Would this be ok?

Speech and Language Therapy Consent to Share Information Yes No Would this be ok? I will write a report. I might want to tell other people about your communication and the things you find easy and hard. This is so your family, friends and carers know how to help you.

Speech and Language Therapy Consent to Share Information Would it be ok for me to send my report to… Your staff Your family Your doctor Your nurse Your social worker YesNo Service user signature: _______________________ Date: _______ Representative: ______________ Role: __________ Date: _______ SLT: ________________________________________Date: _______