Get Campbell University Physical Therapy

This guide provides a clear and supportive process for completing the Campbell University Physical Therapy observation hours verification form online. By following these steps, users can ensure accurate submission of their physical therapy experience.

Follow the steps to accurately complete your verification form.

1. Use the ‘Get Form’ button to access the verification form and open it in your editor.
2. Begin by filling in the 'Name of Applicant' field with your full name as it appears on official documents.
3. In the 'Name of Facility' section, enter the name of the physical therapy facility where you completed your observation hours.
4. Provide the 'Street Address for Facility,' including the street number and name.
5. Fill in the 'City,' 'State,' and 'Zip' fields with the corresponding location details of the facility.
6. Identify the supervising Physical Therapist by entering their 'Name,' 'License #,' 'Email,' and 'Phone #' in the designated fields.
7. Indicate whether you requested the PT to submit a reference by selecting 'Yes' or 'No' in the corresponding field.
8. Choose the 'Type of Experience' by marking the appropriate options for inpatient, outpatient, paid, volunteer, or both.
9. Select the relevant 'PT Settings' from the options provided to describe your observation environment.
10. Document the 'Physical Therapy Specialty Area(s) Observed' along with the corresponding hours of experience for each area.
11. Calculate the 'Total # of Hours' and enter it in the provided field.
12. Complete the 'Start Date' and 'End Date' fields by indicating the period during which the observation hours were accumulated.
13. Ensure the form is signed by the Physical Therapist and dated in the space provided at the bottom of the form.
14. Once completed, save your changes. You may then download, print, or share the form as needed.

Complete your Campbell University Physical Therapy verification form online today!