Get Health Care Experience Documentation Formdocx - Findlay

Filling out the Health Care Experience Documentation Form is an essential step for individuals applying to the Master of Physician Assistant Program at The University of Findlay. This guide will walk you through the process of completing the form efficiently and accurately.

Follow the steps to fill out the form online effectively.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editing application.
2. Begin by entering your name at the top of the form. Ensure that your name matches the one used in your application to avoid discrepancies.
3. In the Experience Information Details section, provide the name of the facility where the health care experience took place.
4. Next, fill in the Department/Unit Name where you were involved during your experience.
5. Input the phone number and address of the facility for verification purposes.
6. Select the Type of Setting. Choose the appropriate option based on your experience: Hospital, Clinic, Volunteer, Office, Shadowing, or Other.
7. Indicate the Type of Experience you had. Specify if it was related to Employment (mention your position) or if it was a volunteering experience.
8. Record the Length of Experience by providing the start and end dates. Use the format Mo/Yr.
9. Calculate and enter the Total number of hours spent in this experience.
10. Provide the name and clinical credentials of the Practitioner who supervised or worked with you during this experience.
11. Include the Practitioner’s Contact Telephone Number and Email to facilitate verification.
12. Finally, sign and date the form at the designated areas to confirm the information provided is accurate and complete.
13. Once you have filled out all sections, review your form for any errors or omissions. You can then save the changes, download, print, or share the completed form as needed.

Complete the Health Care Experience Documentation Form online to enhance your application process.