Get the free Clinical Hour Verification Form - clarksoncollege

A form used to verify the clinical hours completed by students in the Doctor of Nursing Practice program, including previous degrees and certifications.

How to fill out clinical hour verification form

How to fill out Clinical Hour Verification Form

1. Obtain the Clinical Hour Verification Form from your educational institution or supervisor.
2. Fill in your personal information at the top of the form, including your name, student ID, and contact information.
3. List the clinical hours completed, including the dates, total hours for each session, and the type of clinical experience.
4. Have your supervisor or preceptor sign the form to verify the accuracy of the hours listed.
5. Submit the completed form according to your institution’s guidelines, either electronically or in person.

Who needs Clinical Hour Verification Form?

1. Students in health care programs who are required to document their clinical experiences.
2. Professionals seeking licensure or certification that requires verification of clinical hours.
3. Institutions that need to track student or employee clinical work for accreditation purposes.

For pdfFiller’s FAQs

What is Clinical Hour Verification Form?

The Clinical Hour Verification Form is a document used to certify the completion of clinical hours required for professional licensure or credentialing in healthcare fields.

Who is required to file Clinical Hour Verification Form?

Individuals seeking licensure or certification in healthcare professions, such as nursing, physical therapy, or clinical psychology, are typically required to file the Clinical Hour Verification Form.

How to fill out Clinical Hour Verification Form?

To fill out the Clinical Hour Verification Form, one must provide personal identification details, the locations where clinical hours were completed, the type of clinical work performed, and obtain signatures from supervisors verifying the hours worked.

What is the purpose of Clinical Hour Verification Form?

The purpose of the Clinical Hour Verification Form is to ensure that applicants have completed the necessary hands-on experience required for their respective professional practices and to document this experience for regulatory bodies.

What information must be reported on Clinical Hour Verification Form?

The information that must be reported includes the applicant's name, the dates of clinical practice, the total number of hours worked, details of the clinical setting, the type of clinical activities performed, and signatures from supervising professionals.