Effortlessly send secure digital speech therapy referral forms to parents, teachers, and nurses.


  • Customize your questionnaires

  • Send to multiple teachers or parents

  • Complete and submit from any device

  • Get parent forms and responses in 16 languages

  • Ensure HIPAA/FERPA compliance

Gathering evaluation information in multiple languages has never been faster, safer, or easier. Spend your time evaluating and working with the child or client.

Trusted by Speech Language Pathologists in Every Setting Who Need a Safe, Rapid Way to Organize and Capture Their Referral Information

Quickly Gathering Teacher, Nurse, and Parent Information
in Multiple Languages is Just3 Steps Away

1. Customize Your Questions

Use our research-based questionnaires or customize the questions for your exact needs.

Each form is unique to each client, making it easy to manage and track personalized data for all your clients.

2. Multilingual Magic

Send forms in up to 16 different languages effortlessly.

We'll handle the translations for you, so language barriers to collecting parent input are a thing of the past.

While this doesn’t eliminate the need for an interpreter during the assessment, you’ll know about any parent concerns and what communication at home looks like.

3. Send the Forms Using Secure Single-Use Links

Each speech referral form is unique and single-use, ensuring data security with HIPAA and FERPA compliance.

Track progress easily and manage personalized data effectively.

Start Sending Speech Referral Forms for Free

Create an account to try Evalubox Forms or contact us to get a quote for your organization.

Why Gathering Information for Evaluations Feels So Difficult

There are so many reasons why it’s difficult to get the information we need for our evaluations.

Compliance Barriers:

While using things like Google Forms seems better, how are we notified if something has been filled out? Where does the information go afterwards? Do we know if it is even safe to send in the first place? This means most of us still rely on paper.

Time-Consuming:

It's time-consuming to gather feedback from teachers, parents, and other service providers, often involving multiple phone calls and scheduling time to meet in person. Referral forms for speech therapy need to be digitized!

Not organized:

Having a consistent system to collect information means we save time because we are more organized, know what to do because it is repeatable, and we put our teachers and nurses at ease because they know what to expect.

speech and language referral form translating parent referral form completed in spanish to english

Why Evalubox Forms?

  • Specialized for SLPs: Designed with the unique needs of speech language pathologists in mind.
  • Comprehensive Solution: From intake to assessment planning, we've got it all covered.
  • Expertise: Created by professionals who understand the intricacies of speech-language evaluations.

Traditional Methods vs. Evalubox Forms

Traditional

  • Paper forms

  • Unsecured email-based questionnaires

  • Manual follow-ups

  • Delayed return of paper forms

Evalubox Forms

  • Electronic forms

  • HIPAA and FERPA compliant documentation

  • Automated tracking

  • Immediate receipt of responses

Relevant for

School SLPs:

Organize and streamline your referral and assessment processes.

Clinic SLPs:

Manage client information efficiently and reduce admin time.

Medical SLPs:

Ensure comprehensive and compliant patient assessments.

Frequently Asked Questions

How does the referral form for speech therapy work?

Evalubox Forms allows you to create customized speech and language referral forms that you can send to parents, teachers, or nurses. Simply select the questions you want to ask, add the recipients, and send the referral form in any of our 16 supported languages. The recipients receive a secure, unique link to the form, and once they complete it, you'll receive real-time notifications with all responses translated back into English. It’s as simple as that!

How many speech and language referral forms can I create?

You can create as many speech and language referral forms as you need. Our platform is designed to handle multiple forms for different clients seamlessly. Track progress and manage personalized data for all your clients without limits. Whether you need to send a single referral form or manage forms for an entire caseload, Evalubox Forms has you covered.

What if I have more than one teacher or recipient for the teacher referral form for speech therapy?

No problem! Evalubox Forms allows you to send a speech referral form to multiple recipients at once. Whether you’re gathering information from multiple teachers, parents, or healthcare providers, each recipient will receive a unique link to complete the referral form for speech therapy. You’ll be able to track who has completed their portion and manage all the responses in one place.

How accurate is the translation of the speech referral form?

Our speech and language referral form translation engine is powered by advanced AI, ensuring responses are translated with a high degree of accuracy. We understand the importance of precise communication in professional settings, especially when handling a referral form for speech therapy. While no automated system is perfect, our technology is continuously improving, and you can trust that the translations will meet your needs for clear and accurate information.

Keep important records safe

Evalubox is HIPAA compliant and FERPA compliant. HIPAA regulations (The HIPAA Privacy Rule) requires that Covered Entities sign an agreement with their Business Associates. Evalubox will sign a Business Associate Agreement (BAA) for all customers.

Ferpa compliance logo

Start Sending Speech Referral Forms for Free

Create an account to try Evalubox Forms or contact us to get a quote for your organization.