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Bspa.state. or. us Section 1 Effective Date of Change Reason for Change Assistant Information Name Cert Expiration Date Phone Email Affidavit I have read and agree to abide by the provisions of Oregon Administrative Rules Chapter 335 Division 95 regarding SLPA supervision http //arcweb. The SLPA must complete sections 1 and 2 and have the supervisor complete sections 3 4 5 if appropriate and 6 if appropriate. additions/subtractions/replacements i...

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How to fill out slpa supervision form:

1. Fill out personal information section with your name, contact information, and job title.
2. Provide information about your current employer or organization, including their name, address, and phone number.
3. Indicate the start and end dates of the supervision period.
4. Specify the number of hours you will be supervised each week and the total number of hours for the entire period.
5. Describe the type of supervision you will receive, whether it's direct or indirect, and the methods used for supervision.
6. Include the name and credentials of your supervisor, as well as their contact information.
7. Sign and date the form to confirm your understanding and agreement to the supervision terms.

Who needs slpa supervision form:

1. Speech-Language Pathology Assistants (SLPAs) who are required to have supervision as part of their job requirements.
2. Individuals who are undergoing training or education to become SLPAs and must complete supervised hours.
3. SLPAs who are renewing their certification or license and need to document their ongoing supervision.

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What is slpa supervision form?

The SLPA supervision form is a document used to outline the supervisory relationship between a licensed speech-language pathologist (SLP) and a speech-language pathology assistant (SLPA) to ensure compliance with regulatory and professional standards.

Who is required to file slpa supervision form?

The licensed speech-language pathologist (SLP) who supervises the speech-language pathology assistant (SLPA) is required to file the SLPA supervision form.

How to fill out slpa supervision form?

To fill out the SLPA supervision form, the supervising SLP should provide pertinent information including their credentials, the SLPA's credentials, the nature of the supervision, and the specific duties assigned to the SLPA, along with the dates and frequency of supervision.

What is the purpose of slpa supervision form?

The purpose of the SLPA supervision form is to document the supervisory status, ensure proper oversight of the SLPA's activities, and provide a record that supports compliance with professional guidelines and regulations.

What information must be reported on slpa supervision form?

The SLPA supervision form must report information such as the names and credentials of the SLP and SLPA, the dates and frequency of supervision, the specific tasks the SLPA is authorized to perform, and the goals or objectives of the supervision.