► Speech language pathologist maintains the record of patient

► Record of assessment is reported to the patient, family, caregivers or any concerned person of the patient.

► Reports are circulated to the referral source and other professionals with written consent

► Documentation of type and severity of the communication, related disorder, associated conditions except screening information

► Maintaining privacy and security of documentation in compliance with the regulations of federal law

► It also includes summaries of previous services in accordance with all relevant legal and agency guidelines