S: Noah was seen at the Batt School for treatment. Noah was eager to work with SLP for majority of the session. Increased task avoidance noted when completing activities. Sight word, letter identification, and blending activities provided to mom for continuation of skills practice over summer break. O: Noah first participated in an alphabet identification task, identifying all letters of the alphabet in a field of 3 letter choices. Noah identified the letters provided with 85% accuracy. Next, Noah was asked to blend 3 letter words when given the 3 sounds verbally. He completed the task with 80% accuracy. Then, Noah completed a letter-sound correspondence activity in which he listened to the letter sound and identified the letter in a field of 3 answer choices. He completed the activity with 70% accuracy. After, Noah completed a sight word matching activity in which he was asked to match the sight word provided to the correct sight word in a field of 4 answer choices. He completed the activity with 90% accuracy. Lastly, Noah completed a pronoun labeling activity where he was provided picture scenes and asked to choose the correct pronoun in a field of 3. He completed the activity with 80% accuracy. A: Noah displays consistency/increases across all goals. Difficulty with uses of “he” vs. “they” noted when completing pronoun activity. P: Reassess Noah when services continue to ensure POC remains accurate. Continue literacy-based goals per mom’s request.