Most of the patients admitted to the CER II Derdic/PUC-SP Orofacial Motricity and Voice Service for speech therapy assessment and intervention have some hearing and communication difficulties. Given the characteristics of the service offered by the SUS, namely the high demand for patients, the few places on offer, the limited space and the short time available for intervention, group rehabilitation proposals with structured exercise programs have proved to be very useful, with satisfactory results both in terms of welcoming a greater number of people and in terms of the effectiveness of the treatment offered. The aim of this Communication is to present an Adult Voice and Swallowing Rehabilitation Program for patients with phonation and swallowing difficulties due to presbyphonia, presbyphagia, dementia, dysarthria, dyspraxia, dysphonia and dysphagia to improve their quality of life. The program was developed based on the experience of professionals and consultation of specialized literature on the subject. The proposal is that it be applied in groups of eight to ten participants and led by a speech therapist with expertise in the areas of Orofacial motricity and voice, in the format of twelve meetings that bring together strategies for mobilizing structures, progressive muscle training to rescue, improve and provide stability of oral functions, and application of new adjustments acquired in the use of voice and swallowing. The program will then be put into practice to analyze its effects