Get Pt Observation Hours Form - Campbell University - Campbell

Filling out the PT Observation Hours Form is a vital step in documenting your physical therapy experiences. This guide will provide you with clear instructions to help you accurately complete the form online.

Follow the steps to successfully complete the PT Observation Hours Form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your name in the 'Name of Applicant' field. This field is essential to identify you as the candidate requiring verification.
3. Provide the name and contact information of the facility where you accumulated your observation hours. Ensure the street address, city, state, and zip code are filled in accurately.
4. Complete the fields for the supervising physical therapist's name, license number, email address, and phone number. This information is necessary to facilitate verification.
5. Indicate whether you requested the supervising PT to submit a reference by selecting 'Yes' or 'No'. Choose the appropriate type of experience (Inpatient, Outpatient, Paid, Volunteer, or Both).
6. Select the PT settings where your observation took place by checking all relevant boxes, including Acute Care, Rehabilitation, and Outpatient Clinic, among others.
7. Detail the physical therapy specialty areas you observed and enter the corresponding hours for each area. Ensure that the total number of hours reaches at least fifty across at least two specialty areas.
8. Fill in the start date and end date of your observation period.
9. Finally, ensure the supervising physical therapist signs and dates the form, validating your observation hours.
10. Once completed, save your changes, download the form, or print it out to attach to your Campbell University online application.

Complete your PT Observation Hours Form online to advance your application today!