Get the free SLP Clinical Hours Form English - 2010.doc

SPEECHLANGUAGE PATHOLOGY SUMMARY OF CLINICAL PRACTICE HOURS TOTAL HOURS OF CLIENT CONTACT (hours to be rounded up to the nearest quarter-hour) Name: Grad Year: ASSESSMENT/ IDENTIFICATION (Ax) AGE

How to fill out slp clinical hours form

1. When filling out the slp clinical hours form, it is important to gather all necessary information before starting. This may include your personal details, such as name, contact information, and student ID number, as well as any relevant clinical placement details, such as the name of the facility, supervisor, and dates of the placement.
2. Start by carefully reading and understanding the instructions provided on the form. It is essential to follow any guidelines or requirements specified, as this will help ensure that your form is completed accurately.
3. Begin by filling in your personal details in the designated sections of the form. This may include your full name, student ID or identification number, and contact information such as your phone number and email address.
4. Next, provide information about the clinical placement itself. This may involve specifying the name of the facility or organization where you completed your hours, as well as the address and contact details of the facility. It is crucial to provide accurate information to avoid any confusion or delays in processing your form.
5. In the section where you document your clinical hours, it is important to be thorough and keep track of the hours you have completed accurately. Include the start and end dates of each clinical session, along with the total number of hours completed during each session.
6. You may also need to provide details about the specific activities or skills you were engaged in during your clinical placement. This could include providing brief descriptions of the types of clients or patients you worked with, the therapeutic interventions you were involved in, and any specific goals or outcomes that were targeted during the sessions.
7. Ensure that you have obtained the necessary signatures and documentation from your clinical supervisor or preceptor. This may include their name, title, and contact information, as well as their signature and date. These signatures verify the accuracy of your reported hours and activities and serve as evidence of your practical experience.
8. Before submitting the form, review all the information provided to ensure accuracy and completeness. It is advisable to proofread your form and double-check any numerical data, hours, and dates. Additionally, make sure you have attached any required supporting documents, such as log sheets or evaluation forms from your clinical supervisor.

Who needs the slp clinical hours form?

1. Speech-Language Pathology (SLP) students pursuing licensure or certification as speech-language pathologists typically need to fill out the clinical hours form. This form helps document and track the practical experience gained during their clinical placements or internships.
2. Clinical supervisors, who oversee and guide the SLP students during their placement, may also need access to the clinical hours form. They need to review and confirm the accuracy of the reported hours, as well as provide their signatures as verification.
3. Regulatory bodies or licensing boards in the field of speech-language pathology often require the submission of clinical hours forms as part of the licensing or certification process. These bodies may review the form to ensure that the required number of clinical hours has been completed and that the applicant has gained the necessary practical experience.

For pdfFiller’s FAQs

What is slp clinical hours form?

The SLP clinical hours form is a document used to track the clinical hours completed by Speech-Language Pathologists (SLPs) during their clinical training or practice.

Who is required to file slp clinical hours form?

SLPs who are completing their clinical training or are licensed and practicing must file the SLP clinical hours form to report their clinical hours.

How to fill out slp clinical hours form?

SLPs can fill out the SLP clinical hours form by entering their personal information, the date and duration of each clinical session, the type of clinical setting, and any supervising therapist information.

What is the purpose of slp clinical hours form?

The purpose of the SLP clinical hours form is to track and document the clinical experience of SLPs, which is necessary for licensure and certification requirements.

What information must be reported on slp clinical hours form?

SLPs must report their personal information, the date and duration of each clinical session, the type of clinical setting, and any supervising therapist information on the SLP clinical hours form.

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