However, pursuant to the state of Rhode Island Rules and Regulations for Licensing Speech-Language Pathologist, a licensed therapist shall at all times be responsible for the clinical supervision of supportive personnel, Clinical Fellows, and students to ensure the safety and welfare of patients, including cosigning notes, reviewing patient treatment plans and goals. The Speech-Language Pathologist provides clinicalservices including screening, assessment, diagnosis, intervention, management, counseling/education, documentation, and referral for inpatients and outpatients demonstrating speech, voice, feeding, swallowing, language, and/or cognitive impairments.