Welcome
Therapist Portal
Your clinical hub — SOAP notes, evaluation forms, tips, resources, and shared documents all in one place.
📌
DDD Reminder: A caregiver must be present and participating every session. No caregiver = session cancelled. Notify Support Coordinator before next session.
Verify caregiver is present before starting
Review client goals before session
Complete SOAP note during or immediately after session
Document caregiver education provided this session
Review and update home program with caregiver
Obtain parent/guardian signature on treatment note
Send completed note to admin for filing
Alert admin if authorization units are running low
Nash Caraballo — Owner
Admin, billing, urgent issues
Admin Team
Scheduling, authorizations
DDD Member Services
Authorization and support coordination
Documentation
SOAP Notes
DDD-compliant treatment notes. Required for every skilled service encounter.
⚠️
Required every visit: Treatment note + parent/guardian signature. Do not backdate. Notes must be available to DDD upon request.
✅
Every Note Must Include
DDD Chapter 35 minimum requirements
Client name + Member Assist ID
Date and time in/out + total treatment time
Qualified Vendor name (A Sensory Place DBA Caleb's World)
Diagnosis with ICD-10 code
Specific activities with objective data (%, trial counts, cue levels)
Barriers to achieving outcomes
Caregiver education provided this session (specific, not just "parent observed")
Home program reviewed and updated
Provider signature with credentials and date
Parent/guardian signature
🚫
What Makes a Note "Unskilled"
These trigger DDD claim denial
Vague activity descriptions
▼
"Worked on speech sounds" ✗
"Targeted /k/ FWP CVC using DTTC with faded models — 72% accuracy across 25 trials" ✓
"Targeted /k/ FWP CVC using DTTC with faded models — 72% accuracy across 25 trials" ✓
Copy-paste from prior session
▼
Every note must reflect that specific day. Identical language across notes is a major DDD audit red flag.
Missing caregiver education
▼
"Parent observed" is not enough. Describe what was taught: "Caregiver instructed on DTTC fading hierarchy and demonstrated correct cue delivery for /k/ FWP targets."
Goals not connected to activities
▼
Every activity must link to a specific goal. State the clinical rationale: why this activity, why now, how it addresses the functional deficit.
Clinical
Evaluation Form
Initial and re-evaluation template for SLP, OT, and PT. Fill in and generate a formatted report.
Evaluation Type
Client Information
Background & History
Behavioral Observations
Cooperative
Needed redirection
Fatigued
Motivated by preferences
Sensory seeking
Sensory avoiding
Transition difficulty
Limited eye contact
Good attention
Movement breaks needed
Speech-Language Findings
Recommendations
Generated Evaluation Report
Clinical
Clinical Tips
Evidence-based strategies across all disciplines.
🗣️
SLP — CAS & Motor Speech
DTTC Cue Hierarchy
▼
1️⃣
Simultaneous production
Therapist and client produce together. Use when accuracy below 50%.
2️⃣
Direct model (immediate)
Therapist models, client imitates immediately. Standard starting point.
3️⃣
Indirect model (delayed)
Wait 3-5 seconds after model. Fades direct model dependency.
4️⃣
Spontaneous (no model)
Client produces without model. Document as independent production.
Motor Learning Principles
▼
🔁
High repetition
Aim for 100+ trials per session. Motor learning requires mass practice.
🎯
Varied practice
Once target reaches 60%+, mix with other targets. Blocked then random practice.
📈
Fade cues systematically
Move from max to min support as accuracy improves. Document cue level every session.
Word Selection for CAS
▼
⭐
Start with CV shapes
Go, me, no, bye, hi — single consonant-vowel, easiest movement transitions.
⭐⭐
Progress to CVCV
Mama, dada, bye-bye — reduplicated syllables reduce motor planning load.
🏠
Prioritize functional words
Work with parents to identify words the child needs most. High motivation = better motor learning.
AAC Integration
▼
📱
AAC does not reduce speech
Research shows AAC often increases verbal output. Reframe this for parents proactively.
🔄
Model on the device constantly
Therapist and parent model AAC during natural activities — aim for 3-5 models per minute in early stages.
🕐
Wait time is powerful
After a question, wait 10+ seconds silently. Uncomfortable but critical for AAC users.
🖐️
OT — Sensory & Fine Motor
Sensory Diet Principles
▼
⚡
Alerting activities
Under-responsive: jumping, spinning, cold water, crunchy snacks, fast movement.
😌
Calming activities
Over-responsive: deep pressure, slow rocking, dim lights, heavy work, warmth.
🏋
Proprioception is the great regulator
Heavy work organizes almost all sensory profiles. Use it before fine motor tasks.
Fine Motor Progression
▼
1️⃣
Gross grasp to tripod
Large objects to 3-finger pinch to dynamic tripod pencil grasp.
2️⃣
Bilateral coordination first
Two-hand tasks (tearing, lacing) before single-hand precision tasks.
✂️
Scissor sequence
Snipping then across paper then straight lines then curves then shapes.
🏃
PT — Gross Motor & Mobility
Motor Development Principles
▼
🔄
Proximal before distal
Core and trunk stability must precede extremity control.
⚖️
Static before dynamic balance
Standing then weight shifting then stepping then single leg stance then dynamic challenges.
🤺
80% success rule
Stay in the just-right challenge zone — hard enough to require effort, achievable enough to build confidence.
Communication
Parent Conversations
Scripts and strategies for the conversations that matter most.
💡
Parents are the most important member of the therapy team. They have the child 95% of waking hours. Your job is to coach them, not just treat the child.
👋
First Session
Setting expectations with new families
Opening the relationship
▼
Script
"I want to start by hearing from you. Tell me about [child's name] — what do you see at home, what are your biggest concerns, and what would success look like to you six months from now?"
Listen for 2-3 minutes before introducing your approach. Parents who feel heard are far more engaged.
Explaining the home program
▼
Script
"I see your child for 25-30 minutes, maybe twice a week. You have them the other 23+ hours every day. The work we do here only sticks if it's practiced at home. I'm going to teach you what to do — I handle the clinical expertise, you provide the repetition at home."
Explaining DDD caregiver requirement
▼
Script
"A parent or caregiver must be present and participating in every session — this is a DDD policy requirement, not optional. If no caregiver is available, we have to cancel and I'm required to notify your Support Coordinator."
⚠️
No caregiver = cancel the session, do not provide services, document in SOAP note, notify SC.
😤
Handling Pushback
When parents are frustrated or skeptical
"Why isn't my child improving faster?"
▼
Script
"That's exactly the right question. Let me show you where we started and where we are now [show data]. Progress is rarely linear — there are often plateaus before breakthroughs. What I can tell you is [specific improvement]. Here's what I'd like to try next."
Always anchor in data. Parents feel better when they see proof of progress even when it feels slow.
"I don't think this is helping"
▼
Script
"I really appreciate your honesty. Let's look at the goals and data together. Can you tell me more about what you're not seeing? Is it at home, in sessions, or in day-to-day function?"
Never be defensive. Get curious first. Sometimes goals need to change, not the therapy.
"My neighbor said to try [alternative therapy]"
▼
Script
"I'm glad you're exploring options. Can you tell me more about it? The question I always ask is: what does the research say? Some approaches have strong evidence, some are emerging, and some haven't been shown to be effective. Let me help you think through it."
🏠
Home Program Coaching
Getting families to actually follow through
📅
Attach to an existing routine
"What does your morning look like?" Then anchor practice to something they already do. "Three times while getting dressed" beats "sometime during the day."
📱
Demonstrate, don't just describe
Have the parent do the activity with the child while you watch and coach — right in the session. Verbal instructions alone rarely transfer to home.
🎯
One or two targets only
Eight home program items = zero done. Pick the one or two most impactful and do those well.
✅
Check in every session
"How did home practice go this week?" Document in SOAP note S section. Creates accountability without being punitive.
Clinical
Therapy Ideas
Activities for all disciplines. Filter by discipline.
SLP
Egg Hunt Articulation
Hide plastic eggs with target word picture cards. Client finds egg, opens it, produces target with cues. High repetition, high motivation.
SLP
Go Fish with Target Words
Adapt Go Fish with target word cards. Client must request cards by naming them correctly. Built-in motivation to communicate. Great for requesting language too.
SLP
Play Kitchen / Snack Time
Target food vocabulary, requesting, commenting, and functional words (more, please, done, want). Mealtime words are often highest family priority.
SLP
Bubbles for CV Shapes
Client says target word or syllable to receive a bubble blow. "Pop" (CV) is a great target. Natural motivation and high repetition without feeling like drill work.
SLP
Repeated-Line Books
Books with repetitive text (Brown Bear, Going on a Bear Hunt). Client fills in predictable words. Reduces cognitive load, increases successful productions.
OT
Obstacle Course Circuit
Crawling through tunnels (proprioception), balance beam, jumping on crash pad, fine motor task at the end. Combines sensory regulation with skill-building.
OT
Playdough Fine Motor
Rolling, pinching, poking, cutting playdough builds intrinsic hand strength. Add tools to grade the challenge. Highly motivating for most children.
OT
Sensory Bin Exploration
Bin with rice, sand, kinetic sand, or water beads. Hide objects inside. Start with less threatening textures before progressing to wet or sticky.
OT
Swing Activities
Linear swing (front-back) is calming. Rotary (spinning) is alerting. Use swing for regulation first, then transition to table-top fine motor tasks while regulated.
PT
Playground as PT Gym
Climbing targets upper body strength and motor planning. Slides target core. Monkey bars target grip and shoulder stability. Document each as a functional PT task.
PT
Animal Walks
Bear crawl, crab walk, frog jumps, inchworm stretch — all target core, UE/LE strength, and coordination in a playful format.
All
Bubble Popping
SLP: say target word for bubbles. OT: reach and pop for bilateral coordination. PT: chase bubbles for gross motor. One activity, three disciplines.
Reference
Links & Resources
Clinical references, ASHA resources, DDD policy, and CEU platforms.
⭐
ASHA Practice Portal
Clinical topics, evidence maps, templates — all disciplines
›
🗣️
ASHA — Childhood Apraxia of Speech
Evidence summary, DTTC, treatment options
›
📱
ASHA — AAC Practice Portal
Evidence-based AAC implementation
›
🧩
ASHA — Autism Spectrum Disorder
Assessment and treatment for ASD
›
💬
ASHA — Spoken Language Disorders
Receptive and expressive language resources
›
🌟
Apraxia Kids
CAS resources, family handouts, research
›
🎙️
Talking With Tech (AAC)
AAC podcast, implementation ideas, resources
›
📄
PrAACtical AAC Blog
Evidence-based AAC strategies and activities
›
🖐️
AOTA — OT Practice Framework
OTPF-4, domain and process
›
🌐
STAR Institute — Sensory Processing
SPD research, training, parent resources
›
✏️
Handwriting Without Tears
HWT curriculum, materials, training
›
🏃
APTA — Pediatric PT
Evidence-based pediatric PT resources
›
🌟
CanChild
Childhood disability research and outcome measures
›
🏛️
AZ DDD Provider Portal
Claims, authorizations, policy manuals
›
📋
AHCCCS Provider Resources
Enrollment, billing, credentialing
›
🎓
ASHA Learning Center
CEUs, webinars, self-study for SLPs
›
🏥
MedBridge
CEUs for PT, OT, and SLP
›
💻
SpeechPathology.com
Online CEUs for SLPs
›
🎓
AOTA Learning
CEUs and professional development for OTs
›
Documents
Clinical Forms
Built-in forms open here. Forms marked "Add Link" need your Google Drive URL — send to Nash to activate.
📌
Built In forms open directly in this portal. Add Link forms need your Google Drive link sent to caraballo@asensoryplace.com to activate.
📋
SOAP Note Builder
Complete after every session — DDD required
Open ›
🔍
Evaluation / Re-Evaluation Form
Initial and re-evaluation report generator
Open ›
📊
Quarterly Progress Report
Due every 90 treatment days — DDD required
📝
Plan of Care (POC)
Initial + annual recertification — PCP signature required
🚪
Discharge Summary / Note
Required at end of services
🏠
Home Program Template
Give to caregiver and update each quarter
🛡️
SLPA Supervision Log
Required per ASHA + AZ Board guidelines
Team
Shared Documents
Upload and share clinical resources with the team. No client PHI — templates and general materials only.
⚠️
Privacy: Do not upload documents containing client names, DOBs, or diagnoses. This space is for templates, resources, and general clinical materials only.
📁
Tap to upload a document
PDF, Word, PowerPoint, Excel, images
📱No shared documents yet. Upload something above!