Physical Therapist Assistant Complete Program Information
Physical Therapist Assistant Complete Program Information
Physical Therapist Assistant Complete Program Information
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
ILLINOIS CENTRAL COLLEGE <br />
PHYSICAL THERAPIST ASSISTANT PROGRAM <br />
DOCUMENTATION OF OBSERVATION HOURS <br />
Student Name: ____________________________________________ <br />
Student ID # : _____________________________________________ <br />
To ICC <strong>Physical</strong> <strong>Therapist</strong> <strong>Assistant</strong> <strong>Program</strong>: <br />
______________________________________________________ has completed <br />
observation hours in the <strong>Physical</strong> Therapy Department at the facility of: <br />
__________________________________________________________________<br />
from the dates of _____________________ through ______________________ <br />
for a total of _____________________ hours. <br />
Sincerely, <br />
<strong>Physical</strong> Therapy Department <br />
ENCLOSE COMPLETED OBSERVATION FORMS WITH APPLICATION PACKET <br />
PTA <strong>Program</strong> Info 7-2013.doc Page 19 of 20