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Graduating 2014 D.P.T. Handbook Appendices

Appendix A Clinical Performance Instrument

Appendix B Texas Practice Act Rule 322.4

Appendix C Weekly Activity Log

Appendix D APTA Student Evaluation: Clinical Experience and Clinical Instruction

Appendix E Guidelines for Reflective Practice

Appendix F Guidelines for Inservice Education Programs

Appendix G Guidelines for Case Presentations

Appendix H Guidelines for Special Projects

Appendix I Giving and Receiving Feedback

Appendix J1 Clinical Affiliation Contract Initiation Form

Appendix J2 Report of Onsite/Phone Visit

Appendix J3 Contract of Association

Appendix K Clinical Site Information Form (APTA)

Appendix L Clinical Instructor Evaluation Form

Appendix M Mid-term Site Visit Evaluation Form

Appendix N Contract of Association Renewal

Appendix O Clinical Advisory Board

Appendix P Problem Resolution Form

Appendix Q Student Letter of Introduction

Appendix R Student Self-Assessment of Competency

Appendix S1 Student Health Form

Appendix S2 Hepatitis B Vaccine Declination

Appendix T Pregnancy Authorization Form

Appendix U Generic Abilities

Appendix V Clinical Probation Tracking Form

Appendix W Clinical Site Update Form

Appendix X Post Practicum Survey

Appendix Y ADA Technical Standards