Get Apta Ccip Participant Dossier 2015-2025

Completing the APTA CCIP Participant Dossier online is essential for earning CEU credit and the CCIP credential. This guide will walk you through each section of the form, ensuring a smooth and efficient completion process.

Follow the steps to complete the APTA CCIP Participant Dossier.

1. Click the ‘Get Form’ button to obtain the dossier, which will open in your editing interface.
2. Begin by entering your participant name and APTA ID number. If you are not a member, leave the DOB section blank.
3. Confirm your current address, ensuring it matches the one APTA has on file. If necessary, visit the APTA profile webpage to make updates.
4. Fill in the city, state, and zip code fields, along with your email address and phone number.
5. Indicate your professional designation from the options provided (e.g., PT, PTA).
6. Provide the date you graduated from an accredited PT or PTA program and indicate your highest earned degree.
7. Complete the questions regarding your clinical experience, including the number of years working and supervising students, as well as the state(s) in which you are licensed.
8. Decide whether to grant permission for APTA to release your contact information for research or marketing purposes.
9. If you need any special accommodations to complete the program, please specify in the provided space.
10. Your direct supervisor must complete the assessment section, indicating your competencies and attributes as a clinical instructor.
11. Once all sections are complete, review your information for accuracy before finalizing.
12. Save your changes, then download, print, or share the completed form as needed.

Start completing the APTA CCIP Participant Dossier online today!