Clinic Manual
Practicum
Practicum: Therapy (Tx)
- Clinic Responsibilities and Expectations
- Clinician Forms
- Clinician Background Sheet & Schedule
- Download form, complete it, and email it to the Clinic Director
- Clinic Compliance
- Equipment Use Agreement
- Clinician Background Sheet & Schedule
- Clinic Forms
- Clinician Forms
- Clinic Processes
- ITP - Intended Therapy Plan
- S.O.A.P. Notes
- S.O.A.P. Template
- S, O, A, P - Individual Example
- S, O, A, P - Group Example
- Consult with group program supervisor
- S.O.A.P. Template
- TO/TS Format
- Self Evaluation
- STP - Semester Therapy Plan Format
- STS - Semester Therapy Summary Format
- Home Programs
- Home Program Format
- Home Program Rubric
Practicum: Therapy (Dx)
Practicum: Internship
- Practicum: Internship
- Forms
- Internship Planning Form
- Form submitted via Adobe Sign (SLHS to student to advisor to Clinic Director)
- test information/registration
- Internship Planning Form
- Forms
Clinic Policy Statements
- Essential Functions (under review)
- Background Check
- CPR
- Immunization and Vaccines
- Confidentiality/HIPAA
- Appearance
- Plagiarism
- Infection Control
- Equipment Use
- Mandatory Reporting of Child Abuse
- Grades
- Student Complaints
- Department Chair: Dr. Elena Dukhovny, elena.dukhovny@csueastbay.edu
- Clinic Director: Shelley Simrin, (510) 885-4762 or shelley.simrin@csueastbay.edu