Get the free StudentPractitioner Supervised Clinic Form - kinesiology org

AUSTRALIAN KINESIOLOGY ASSOCIATION INC. P.O. Box 233 Kerrimuir, Victoria 3129 Australia Email: inquiries kinesiology.org.AU Website: www.aka.asn.au Telephone: 1300 780 381 or (03× 9898 7406 Fax:

How to fill out studentpractitioner supervised clinic form

How to fill out the studentpractitioner supervised clinic form?

1. Obtain the form: Start by acquiring the studentpractitioner supervised clinic form from the appropriate source. This may be provided by your educational institution or the clinic where you will be conducting your supervised practice.
2. Read the instructions: Carefully go through the form and read any accompanying instructions or guidelines. Familiarize yourself with the purpose of the form and the specific information it requires.
3. Personal details: Begin filling out the form by providing your personal details. This usually includes your full name, contact information, student ID or license number, and any other requested identification details.
4. Educational information: Fill in your educational background, including the name of your institution, program, and any relevant dates or certifications.
5. Clinic details: Provide the necessary information about the clinic where you will be conducting your supervised practice. This may include the clinic's name, address, contact details, and any specific instructions or requirements set by the clinic.
6. Supervisor details: Indicate the name and contact information of your assigned supervisor. Include their professional qualifications, such as their title, specialization, and any relevant licenses or certifications.
7. Timeframe and schedule: Specify the duration of your supervised clinic practice, including the start and end dates. If there is a specific schedule or number of hours required, make sure to fill in this information accurately.
8. Learning objectives: Describe your intended learning objectives or goals for the supervised clinic experience. This may involve outlining the skills you wish to develop or the areas of practice you want to focus on.
9. Signature and date: Sign and date the form to acknowledge that the information provided is accurate and complete. Make sure to follow any additional instructions regarding witness signatures, if required.

Who needs the studentpractitioner supervised clinic form?

1. Students in healthcare programs: The studentpractitioner supervised clinic form is typically required for students who are pursuing healthcare professions, such as medicine, nursing, psychology, or physical therapy. It ensures that students engage in clinical practice under the supervision of experienced professionals.
2. Educational institutions: Universities, colleges, or vocational schools offering healthcare programs often require their students to complete supervised clinic hours as part of their curriculum. The form helps the institution track and monitor students' progress and ensures adherence to regulatory requirements.
3. Supervisors and clinic administrators: The form is necessary for supervisors and clinic administrators to have a record of the student's participation in the supervised clinic. It allows them to monitor and evaluate the student's performance, provide necessary guidance, and fulfill any contractual or legal obligations related to supervision requirements.

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