Although I have previously blogged on using an iPad to take data and write therapy notes, the backbone of my system is an old-fashioned paper document. When I get a child, I type up a therapy note form which contains the abbreviated goals/objectives, and pertinent information such as diagnosis code, date of birth, setting I saw the child, and other things. Read the one pictured above for yourself. I give myself room to write the activities (that's were all of my snazzy adapted books go!) and a signature line for each session, along with my credentials. Why do I go through all of this trouble when I can just use a Google form? The answer is that the paper document is what I use to formulate the questions in the eventual Google form, and a paper document is what I physically sign. (I can't sign an Ipad!)
Even if I do use a Google form for data collection, I still need to sign off, and can just staple the printed Google spreadsheet to my signed from. I don't write the data twice, but our overall system in the schools still requires paper and signatures, so a paper form is the backbone. I've seen several forms in other SLP blogs--whatever works for you is the way to go as long as you have something systematic. There are a few extra details I've included in Google forms that I'll share that I don't put in the paper form---specifically relating to Medicaid requirements.
This will all be demonstrated in Episodes 2 and 3. I know you are all waiting eagerly for this (especially on a Saturday night!)