physical therapy observation hours - Illinois Central College

ILLINOIS CENTRAL COLLEGE
PHYSICAL THERAPIST ASSISTANT PROGRAM
DOCUMENTATION OF OBSERVATION HOURS
Student Name: ________________________________________________
Student ID # : ________________________________________________
To ICC Physical Therapist Assistant Program:
___________________________________________________ has completed
observation hours in the Physical Therapy Department at the facility of:
From the dates of ____________________ through ______________________
For a total of _______________________hours.
Sincerely,
Physical Therapy Department
ENCLOSE COMPLETED OBSERVATION FORMS WITH APPLICATION PACKET