Get Clinical Observation And Experience For Assistants Form - Dshs State Tx

Filling out the Clinical Observation And Experience For Assistants Form is an essential step for individuals seeking an assistant license in speech-language pathology. This guide provides a clear, step-by-step process for completing the form online, ensuring that you have the necessary information to submit your application accurately.

Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to access the Clinical Observation And Experience For Assistants Form and open it in your preferred document editor.
2. Enter the name of the student in the designated field. Ensure accuracy to avoid any discrepancies in the application process.
3. Input the social security number in the specified field. This is a critical identifier for your application, and it should be entered carefully.
4. Provide the name of the college or university in the appropriate field. This information is necessary for verification purposes.
5. Indicate the number of clock hours earned in clinical observation. Enter the total hours you have accrued in the given section.
6. Similarly, document the number of clock hours earned in clinical experience. This should also reflect the total hours completed.
7. Have the program director or designated college/university representative sign the form. This validation is necessary to confirm the information provided.
8. Specify the date of signature in the corresponding field, ensuring that the form is current and valid.
9. Once completed, you can save changes, download a copy for your records, print the form, or share it as required.

Complete your Clinical Observation And Experience For Assistants Form online today for a smooth application process.