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Southwest Tech Attn Admissions 1800 Bronson Blvd. Fennimore WI 53809 Using the 4 point scale below with 4 being exceptional and 1 being below average and 0 being unable to rate please evaluate the applicant on the following behavioral characteristics. Verification of Physical Therapy Clinical Observation Hours Applicant s Name To better prepare you for entry into the Physical Therapist Assistant program at Southwest Wisconsin Technical College you are required to complete 32 observation hours...
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How to fill out clinical observation verification form
How to fill out clinical observation verification form
01
To fill out the clinical observation verification form, follow these steps:
02
Start by providing your personal information such as your name, contact information, and any relevant identification numbers.
03
Specify the date and time of the clinical observation.
04
Indicate the location where the observation took place.
05
Mention the name of the healthcare professional or organization conducting the observation.
06
Describe the purpose of the observation and the specific activities or procedures observed.
07
Provide detailed notes on your observations, including any notable findings or observations.
08
Record any equipment or instruments used during the observation.
09
Include any additional documentation or attachments that support your observations if required.
10
Finally, review the completed form for accuracy and make any necessary corrections before submitting it.
Who needs clinical observation verification form?
01
The clinical observation verification form is typically required by healthcare professionals, students in healthcare programs, or individuals participating in clinical research or trials.
02
It may also be needed for documentation purposes in medical institutions, such as hospitals, clinics, or research facilities.
03
The form serves as a verification of the observation and can be used for record-keeping, educational purposes, or compliance reasons.
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