The South Carolina Vocational Rehabilitation facility in West Columbia has served as a site for adult speech, language, hearing and swallowing screenings for over 10 years. The screening protocol identifies persons who are likely to have a language, speech (including swallowing), hearing, or cognitive impairment that may interfere with vocational or social functions or may contribute to additional medical conditions. The pass/fail procedure, carried out by a team of faculty and graduate-level students, may result in a recommendation for re-screening, a comprehensive speech and language evaluation, or a referral for other medical or professional services.