Richard was greeted by the therapist in the waiting room. He was a pleasant boy during transition to his room. Today was the first session with Richard and SLP. Rapport was established by talking about common interests (games, animals, colors, etc). Richard demonstrated appropriate eye contact and joint attention. Conversational turn taking was age appropriate. When asked by SLP what he was currently working on in speech therapy, he could not recall. The Goldman Fristoe Test of Articulation - Third Edition (GFTA-3) was administered revealing a standard score of 76. The GFTA-3 average standard score being 100 with standard deviation of 15 (85-115). A standard score of 76 falls 2 standard deviations below the mean. He is in the 5th percentile for his age and test age equivalency is 4:0-4:1 years old. With that said, Richards intelligibility is judged to be good. His errors were consistent with the following substitutions:
"th" for "s" in all positions of the word
"th" for s blends in all positions of the word
voiced "th" for "Z" in all positions of the word
"f" for voiceless "th" in initial position of the word
"d" for voiced "th" in medial position of the word
"s" for voiceless "th" at final position of the word

Intelligibility was reduced when Richard became excited and spoke at a faster rate however improved with verbal prompting to slow down speech production.

Richard is a sweet boy and very compliant. I look forward to working with him and collaborating with other teachers regarding additional areas of weakness that may apply to my scope of practice.