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How to fill out the Statement Of Supervision Form online
Filling out the Statement Of Supervision Form is an essential step for OT Assistants to ensure they operate under the supervision of a licensed Occupational Therapist in Oregon. This guide provides a clear, step-by-step process to help users complete this form online effectively.
Follow the steps to successfully fill out your Statement Of Supervision Form.
- Click the ‘Get Form’ button to obtain the form and open it in the editing interface.
- Begin by entering your name and email address in the designated fields for the OT Assistant. Make sure this information is accurate and completed as requested.
- In the affidavit section, read the responsibilities carefully. Confirm your understanding of the requirement to work only under the supervision of a licensed Occupational Therapist and acknowledge your duty to keep the board informed of any supervisory changes.
- Provide your signature and the date in the appropriate fields, and indicate the date supervision will begin.
- If applicable, indicate whether you are adding a new supervisor or replacing an existing one. For replacing, fill in the name of the supervisor being replaced and the date supervision ended.
- Fill out the supervising OT's name and email address in the specified area. Ensure this information reflects the actual supervising occupational therapist responsible for your supervision.
- As the supervising OT, review and complete the affidavit confirming your commitment to provide supervision and consultation as required. Include your signature and the date supervision will begin.
- Complete the facility information where supervision will occur, including the facility name, address, and telephone number.
- If applicable, provide the name of the company through which you are employed, if different from the supervision facility.
- Review all completed fields for accuracy, then save changes, download, print, or share the form as needed.
Ensure your form is filled out correctly and submit it online for compliance!
Related links form
In Florida, supervision requirements can vary based on the professional field. Generally, professionals must complete a Statement Of Supervision Form to document their supervisory relationships and compliance with state regulations. This form typically needs to include information about supervision frequency and the nature of the supervisory activities. Adhering to these requirements ensures that professionals meet legal standards and maintain quality in their practice.
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