Home Practice Log for Speech Therapy Patients (Free Printable)

By Blake Hickey, founder of Double Jaw Marketing. For speech-language pathology practice owners and clinicians. Updated October 17, 2026.

Between sessions, families are on their own. A simple log gives them one place to see what was assigned, track what they did, and write down questions while they're fresh. It also gives the clinician something concrete to look at when the session starts.

I had speech therapy myself, at the end of my jaw surgery treatment. This log has no exercises printed on it. Your clinician writes in what they assigned, and the family fills in the rest.

How to use it

1. At the session: the clinician writes this week's exercises in the box at the top, with how much and how often.
2. At home: the family fills in one row each day: date, which exercise, minutes or reps, and whether it felt easy, okay or hard.
3. Before the next session: write down questions as they come up.
4. At the next session: bring the log back and start from it.

Keeping it simple, and keeping it yours

The sheet carries one line in bold at the top: "Do only the exercises your speech-language pathologist assigned." It doesn't suggest exercises, set targets or promise results; that's the clinician's call for each patient.

Put your logo in the box, add your phone number, and print a stack for the front desk. Families who keep the log at home don't need anything else from you to start. If you also use the log in your marketing, have your attorney check the final version against your state's advertising rules.

[Your logo here]
**[Practice name]** | [Phone] | [Website]

# Home practice log

For speech therapy patients and families. Fill it in each day and bring it to your next session.

> Do only the exercises your speech-language pathologist assigned.

Name: ______________________
Week of: ______________________
Speech-language pathologist: ______________________
Next session: ______________________

## This week's exercises (your SLP fills this in)

| # | Exercise | How much | How often | Notes from your SLP |
|---|---|---|---|---|
| 1 |   |   |   |   |
| 2 |   |   |   |   |
| 3 |   |   |   |   |
| 4 |   |   |   |   |

## Daily log

| Day | Date | Exercise # | Minutes or reps | How it went | Notes |
|---|---|---|---|---|---|
| Mon |   |   |   | Easy / Okay / Hard |   |
| Tue |   |   |   | Easy / Okay / Hard |   |
| Wed |   |   |   | Easy / Okay / Hard |   |
| Thu |   |   |   | Easy / Okay / Hard |   |
| Fri |   |   |   | Easy / Okay / Hard |   |
| Sat |   |   |   | Easy / Okay / Hard |   |
| Sun |   |   |   | Easy / Okay / Hard |   |

Circle one for how it went.

## Notes and questions for next session

- ______________________________
- ______________________________
- ______________________________

**Questions between sessions?** Call [Practice name] at [Phone].

---
I'm not a lawyer or a doctor. This is what I've learned helping practices, shared to help you. It's general information for Florida practices as of October 2026, not legal or medical advice. Rules differ by state and change, so have your attorney review it before you use it. Template from Double Jaw Marketing, doublejawmarketing.com/resources.

Common questions

What goes on a speech therapy home practice log?

The exercises the clinician assigned, and for each day the date, minutes or reps, how it went and any notes or questions for the next session.

Does the log include exercises?

No. The clinician writes in the exercises they assigned. The log says to do only the exercises your speech-language pathologist assigned.

Can our practice brand the log?

Yes. Put your logo in the box, add your practice name and phone number, and print it or copy the text into your own document.

Claims and sources

This resource makes no legal, clinical or statistical claims. The exercises, amounts and schedule come from each patient's own clinician. The disclaimer above applies if you adapt it for marketing.