MEDREC OT PT SLP 85 NE LOOP 410, SUITE 610, SAN ANTONIO, TX 78216 P: (800) 437-7560
Therapy Services Since 1974
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Candidates/Employees - Why should you work for Medrec?

Skills Inventory - SLP

Please complete ALL the questions below.
Enter NA or select No Experience for any area that does not apply.
Name:
Email:
Date:
Graduation Date:
 1 = No Experience  2 = Intermittent Experience  3 = Experienced  4 = Supervise & Teach


ADULT 1 2 3 4
CVA
Coma Stimulation
TBI
Degenerative Diseases
Mental Retardation
  Mild
  Moderate
  Severe
  Profound
Anoxia
Layngectomy
Tracheotomy
Ventilator Dependent/Assisted
Fluency
Voice
Screenings
Hearing Impairments
Sign Language
DYSPHAGIA 1 2 3 4
Bedside Swallow Evaluation
MBS Swallow Study
Thermal Simulation
Thickening Agents
Compensatory Techniques
Laryngectomy
Tracheotomy
Ventilator Dependent/Assisted
ADAPTIVE EQUIPMENT 1 2 3 4
Communication Board
Augmentative/Alt. Com. Device
Memory Aide
Feeding Equipment
PEDIATRICS 1 2 3 4
CVA
Coma Stimulation
TBI
Degenerative Diseases
Mental Retardation
  Mild
  Moderate
  Severe
  Profound
Anoxia
Layngectomy
Tracheotomy
Ventilator Dependent/Assisted
Fluency
Voice
Screenings
Hearing Impairments
Sign Language
OTHER 1 2 3 4
Medicare Documentation
Home Health Documentation
Family Education
In-service Training
Transfer Training
Video strobescopic Voice Evaluation
Fiber optic Voice Evaluation
Aural Rehabilitation
Functional Maintenance
Video Fluoroscopy
Multiple Sclerosis
Muscular Dystrophy
Other:

AREAS OF EXPERIENCE Months Years
General Acute Care
Rehab Hospital
Sports Medicine
Children's Hospital
School System
Home Health
Physician's Office
Skilled Nursing

Are you AHSA Certified? Yes No Expiration date:
Are you CPR Certified? Yes No Expiration date:


 Age Specific Competencies
I possess the minimum knowledge, skills and abilities for the following patient populations:
  Neo-Natal Pediatrics Adolescent Adult Geriatrics
  Yes No N/A Yes No N/A Yes No N/A Yes No N/A Yes No N/A
Knowledge of growth and development
Ability to assess age specific data
Ability to provide age specific data
Possess communication skills necessary to interpret age specific response to
Ability to involve family or significant other in decision making related to plan of care

Call us Toll Free at
(800) 437-7560


Our clients include:

  • Acute Care - Inpatient
  • Acute Care - Outpatient Department
  • Ambulatory Care Clinic
  • Corporate/ Industrial
  • Home Health
  • Private Practice/ Physician Office
  • Rehabilitation Center
  • School
  • Skilled Nursing Facility
  • Sports Medicine Center


JCAHO
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