Make your speech therapy sessions fun and engaging this season! Explore 50+ fall-themed speech therapy telepractice activities for early intervention, preschool, and school-aged children. From pumpkins to leaves, these ideas bring autumn into your therapy room—whether online or in person.
Fall is here! As we say goodbye to summer and welcome the crisp, colorful days of autumn, it’s the perfect time to bring seasonal themes into your speech therapy sessions. Whether you work in early intervention, preschool, or with school-aged children, using fall-themed speech therapy activities can spark engagement and make learning more fun.
This post shares 50+ Fall Speech Therapy Telepractice Activities you can easily integrate into your sessions. From pumpkin patches and apple orchards to leaves and harvest fun, you’ll find activities that help your students meet their goals while celebrating the season.
Please note: I do not receive commissions for any resources shared here (except from TelepracticeTools.com and my stores on Boom Learning℠ and Teachers Pay Teachers). Many of the activities are FREE, though you may need to create a free account to access some platforms (e.g., Boom Learning℠).
Before diving in, here are a few quick tips to get the most out of this list:
- Use CTRL+F (Windows) or COMMAND+F (Mac) to quickly search for your grade level or goal area.
- For stimulus items to pair with reinforcers, check out Home Speech Home or their Word Vault app.
Preschool Fall Speech Therapy Telepractice Activities
Fall Themed Lesson Plans for Preschool and Early Intervention. The eight themes included are: Moon, Apples, Pumpkins, Leaves, Fall, Turkeys, Thanksgiving, and Fall harvest. Each of the fall themed lesson plans follow the following format:
- Read a book
- Watch a video
- Activity to elicit language
- Parent/e-helper coaching
Keep reading for more fall themed activities for school aged children…
Elementary Speech Therapy Telepractice Activities
We also offer two different Fall Themed Lesson Plan resources for Elementary students. Our Fall Themed Lesson Plan Bundle has 7 themed lesson plans for students in grades kindergarten through 2nd. The seven themes in this download are back-to-school, fall, pumpkin, football, apple, fall leaves, and Thanksgiving.
If you work with kids in grades 3-5th, you might want to consider our other lesson plan download, Fall Themed Lesson Plans for K-5th grade. These lesson plans cover three levels:
- Level 1: K-1st grade
- Level 2: 2nd-3rd grade
- Level 3: 4th-5th grade
Each lesson plan follows my standard template for planning telepractice sessions for elementary students. There are four themes: Fall, Pumpkins, Apples, and Thanksgiving.
Here are engaging fall-themed telepractice activities for elementary students.
As of November 2025, ABCYA no longer offers all of its games and activities for free. There is a list of free weekly games, but the entire library of games is included in the paid subscription options. These activities can be used to target articulation, language, and fluency goals. For preschool children who are working on expanding their utterances or vocabulary, they can use activities such as Dress for the Weather to request the “red shirt” or say “Can I have red shirt?” For older elementary students working on articulation, they can read the word lists and then form their own sentences using target words in an activity such as Thanksgiving Word Search.
HIGHLIGHTS FOR KIDS: HIDDEN PICTURES
These activities can be used to play “I Spy” to work on vocabulary and describing. “I spy something that swims and has fins.” You can also have fun finding the target items that the children describe, “It is on the squirrel’s shirt.”
PINK CAT GAMES
PinkCatGames.com has a variety of themed activities that are perfect for speech therapy teletherapy sessions. You can address articulation, language, fluency, or use the games for general reinforcement activities. It is great for preschool through middle school. Just be sure the select age-appropriate games. The annual subscription is only $49.99, and allows you access to ALL of their games. You can also create your own. View our YouTube Tutorial below.
SUPER TEACHER WORKSHEETS
These activities can be used in speech therapy for your students working on articulation, language, and fluency.
WOO JR.
Students can create their own stories using target words to address articulation and fluency. These reading passages can be used to address articulation, language, and fluency goals.
Middle and High School Fall Speech Therapy Telepractice Activities
ABCYA.COM
As of November 2025, ABCYA no longer offers all of its games and activities for free. There is a list of free weekly games, but the entire library of games is included in the paid subscription options. These activities can be used to target articulation, language, and fluency goals. For middle school and high school children working on articulation, they can read the word lists and then form their own sentences using target words in an activity such as Thanksgiving Word Search.
WOO JR.
Students can create their own stories using target words to address articulation and fluency. These reading passages can be used to address articulation, language, and fluency goals.
Honorable mentions:
These are some of my other favorites for fall that are from other websites that those listed above. The Seasonal Hangman is from Quia.com and Starfall Pumpkin and Turkey activities are from Starfall.com.
Boom Card Decks
This list includes a combination of free and paid activities. These Fall Themed Speech Therapy decks and more can be found in our Telepractice Tools store.
General reinforcer
FREE Fall Tic-Tac-Toe (All grades)
Articulation
Fall Articulation Four-in-a-Row games mimic the traditional “Connect Four” game. These decks require drag and drop. If the child is unable to control the screen, the clinician can have the child choose their words verbally while the clinician moves the game pieces.
Fall Articulation Tic-tac-toe games mimic the traditional “Tic-tac-toe” game. These decks require drag and drop. If the child is unable to control the screen, the clinician can have the child choose their words verbally while the clinician moves the game pieces.
These bundles include the games in the activities above.
- Fall Articulation Tic-Tac-Toe Bundle: /th/, /sh/, /ch/
- Fall Articulation Four-in-a-Row: /r/, /s/, /z/, /l/
- ULTIMATE FALL ARTICULATION BUNDLE: R, S, Z, L, TH, SH, CH
Fall Articulation Board Games
Vocabulary
Find Thanksgiving-themed activities in our FREE Thanksgiving Themed Telepractice Activities blog post. You can try a Free Sample of our Fall Themed Lesson Plans by clicking on the image below:
I hope this list helps you quickly plan your Telepractice Activities for this Fall. We’d love to hear your favorite fall activities in the comments below. If you haven’t already, please subscribe for updates and special offers.
