Get Physical Therapy Observation Hours Verification Form

Filling out the Physical Therapy Observation Hours Verification Form is a crucial step for applicants to the PTA Program at Craven Community College. This guide will provide you with a clear and supportive step-by-step approach to complete the form online effectively.

Follow the steps to fill out the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editing tool.
2. Begin by entering your personal information in the designated fields. Fill out your name, student ID, phone number, and email address as the applicant.
3. Next, provide the name, street address, city, state, and zip/postal code of the facility where you completed your observation hours.
4. Indicate the name of the licensed PT or PTA supervising your observation, along with their license number and state of license. Keep in mind that the license number will be kept confidential.
5. Fill out the PT/PTA's email and phone number to facilitate communication.
6. Select the type of experience you had by marking either inpatient, outpatient, or both. Also, indicate if your experience was paid, volunteer, or a combination of both.
7. From the provided options, check the PT settings where your observation took place such as acute care, outpatient clinic, or other relevant settings.
8. Document the physical therapy specialty areas you observed along with the respective hours spent in each area. This may include cardiovascular & pulmonary, orthopaedics, pediatrics, and more.
9. Add the total number of hours accumulated during your observation experience, along with the start and end dates of your observation.
10. At the bottom of the form, the supervising PT or PTA must sign and date the form. Ensure they place it in a sealed envelope with their signature across the seal.
11. Finally, save your changes, and depending on your needs, you may download, print, or share the completed form.

Complete your Physical Therapy Observation Hours Verification Form online today!