To add information, use the 'Notes' symbol.  This information will be added in the report.  It will be organized by subtest.  You can add, for example, how long a test item took or what cues the therapist used that were beneficial to the patient, etc. 

Back and Forward Arrows
Move back and forth through the test at your leisure using the back and forward arrows.  

SteP 6: sign report & make final recommendations

At the conclusion of the test, you will be able to make final recommendations, see a short summary of their scores, and you will have the opportunity to sign the report. We recommend you use this space to also make recommendations of visit frequency, additional professionals the patient should see, and summarize the patient's overall stimulability for therapy. 

Skip question

If for any reason you need or want to skip a question, that option is available in the bottom right corner.  You will not be able to return to the question later.  The skip completely removes the question from the calculations at the end of the test. 

SteP 2: Add a patient

Fill in your patient's information.  You can even add their picture! The name will be used throughout the report so ensure correct spelling.  The age will automatically calculate on the following screen.  Once a patient is added, their basic information is stored and does not need to be entered when re-evaluating.  You can review results of previous evaluations including specific test and subtest data, within the app.  A search feature allows a therapist to easily locate a specific patient name quickly and easily.  


Enlarge Photo
To enlarge the photo, tap the photo.  Tap it again to return to the original screen. 


Keep your patient's history and evaluations private.  A 4-digit pin code is required upon initial start-up and again whenever the app is exited. Please write down your code somewhere you can access it in case you forget!


SteP 1: Register

This is where you need to add your name and credentials.  This information will appear at the end of the report so it is important to have all the correct information before submitting.  This information is not shared with third parties and exists only on the app for the purpose of adding it to the report.  If Have licenses in multiple states or countries, you can create multiple therapists within the CASE speech eval app to accomodate this. 

Note: Don't forget to add your credentials in the last name box! 

New York State 


When completing the evaluation with your patient, you will see a progress bar on the top screen that will tell you how many more questions are in that section.  You will also see a clock symbol.  By touching the 'Start' button, the timer will begin.  You will see a 'stop' button appear after the timer has started.  You can also reset the timer.  This is used as a tool and will not be included in the report. To add information, use the 'Notes' symbol


In the reports tab, you can view results of past evaluations.  This will give you a breakdown of all tests and subtests administered as well as patient performance on these sections.

Create a custom evaluation by choosing between 10 objective tests. Each test can further be broken down into specific categories.  It is best if you become familiar with the test and the questions before administering to your patients.  Tests include but are not limited to: Memory, Receptive and Expressive Language, Non-Verbal Communication, and Pragmatics.

Step 5: Create A Custom Evaluation 

Comprehensive Adult Speech-Langu​age Evaluation CASE


To pause the test allows you to take a break and resume where you left off. 


You can obtain a writing sample by having the patient draw on the screen.  they can use their finger, or a stylus pen.   Note the symbols on the right side of the screen.  You can toggle between erase and draw, or clear the sketch area on the top left of the screen. 

Progress bar

When completing the evaluation with your patient, you will see a progress bar on the top screen that will tell you how many more questions are in that section.  

cue toggle

The cue toggle button is used when the therapist provides a cue to the patient.  Anything beyond the patient independently answering the question, this should be switched on to make the results accurate.  As you can see, when the accuracy is recorded, it records % correct at the independent level, % correct with cues, and % incorrect.  This is key information that therapists can use when creating goals so it is important to remember to turn it on before clicking if the question was correct or incorrect. 

SteP 3: add patient history

CASE is based on functionality and the patient history really highlights what the patient was able to do initially and what they cannot do now as a result of their disability.  You can also add relevant medications and record a language sample.

Don't need it?  You can skip this step.  You won't be able to return to it later however so if you think you might want it, you need to do it first. 

SteP 4: Complete a bedside dysphagia evaluation

The bedside evaluation is comprised of the oral and pharyngeal phases of swallowing.  It also has additional observations, recommendations, and follow up referral components.  

Don't need it? You can skip this section and proceed to the evaluation. You won't be able to return to it later however so if you think you might want it, you need to do it first. 

Step 7: Final report

The final report will include the patient history, entered medication and language sample information, and writing/drawing samples.  It will summarize the patient's performance on each test given, as well as provide the recommendations that the therapist has written.  Finally, the therapist's signature will appear at the bottom along with their ASHA and license number that they initially entered when a therapist is added.