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resources FOR services provided by SBA

Have Questions?

SBA POLICIES

Comprehensive Swallow-Voice Assessment (CSA) (docx)Download
CSA Report Template (pdf)Download

INFECTION CONTROL

Cleaning-Disinfecting Endoscope Caddy Tubes Updated 12March2025 (doc)Download
Cleaning-Disinfecting the Endoscope Updated 12March2025 (doc)Download
MSDS Germicidal Wipes (pdf)Download
MSDS OPA (pdf)Download
Additional Infection Control Procedures (pdf)Download

SBA FORMS

Symptom Checklist for CSA Referral (pdf)Download
Referral Form (doc)Download
CSA Order (doc)Download
Daily Visit Record (docx)Download

Justification for CSA

The Case for Instrumental Assessments (pdf)Download
Emerging Areas of Clinical Practice (pdf)Download
Medical Necessity of CPT 92524 (docx)Download
Arnold et al. ADS Article 2024 (pdf)Download
ADS Article Supplemental Material (pdf)Download

Swallowing Resources

Bedside Swallow Evaluation Questions (pdf)Download
Modified Masako Task (pdf)Download
Shaker's Task (pdf)Download
True Vocal Fold Adduction Exercises (pdf)Download
Water and Crushed Ice Protocol (pdf)Download
Tracheotomy Communication and Swallow Interventions (pdf)Download

Voice Resources

Voice Case History Form (pdf)Download
CAPE-V Procedures and Form (pdf)Download
Voice Handicap Index (pdf)Download
VRQOL (docx)Download
Standard Reading Passages (pdf)Download
Phonetogram and Basic Acoustic Data (pdf)Download
Videostroboscopy Rating Form (pdf)Download
Evidence-Based Voice Exercises (pdf)Download
Therapy Apps (pdf)Download
Inspiratory/Expiratory RBT (Voice/Speech/Swallowing) (pdf)Download

Audiology/Aural Rehab

Physicians Order Audiology (pdf)Download
Audiology Infection Control Policy (doc)Download
Audiology Inservice Slides (Keith Ergle AuD) (pdf)Download
Audiology Billing Sheet (docx)Download
Aural Rehab Assessment Tests (docx)Download
Aural Rehab SBA (doc)Download
Aural Rehab Steps To Success II 2014 (docx)Download

ASHA Documents

ASHA Scope of Practice in Speech-Language Pathology 2016 (pdf)Download
ASHA The Role of the SLP in Performance and Interpretation of Endoscopic Evaluation of Swallowing (pdf)Download
ASHA Vocal Tract Visualization and Imaging (pdf)Download
ASHA Code of Ethics (2023) (pdf)Download

ONLINE RESOURCES

CSA Endoscopy Video DemonstrationASHA Dysphagia Practice PortalASHA AERODIGESTIVE DISORDERS PRACTICE PORTALASHA VOICE PRACTICE PORTALASHA hearing loss practice portal

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