Form D - Educational Credential And Qualifications Assessment Document Request Form Page 4

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1243 Islington Avenue, Suite 501
Toronto, Ontario M8X 1Y9
P : 416 234 8800 | F : 416 234 8820
Are physiotherapy students taught how to make a physiotherapy diagnosis?
Yes
No
Is a registered physiotherapist allowed to diagnose a patient’s condition?
Yes
No
Can a registered physiotherapist develop a treatment plan independent
of a physician’s prescription/direction?
Yes
No
Can patients go to a physiotherapist without a physician’s referral?
Yes
No
Can a registered physiotherapist discharge a patient from physiotherapy care?
Yes
No
Supervised Clinical Practice
Total hours of supervised clinical practice (practicum / internship) in physiotherapy:
The breakdown of hours of supervised clinical practice in physiotherapy in the following conditions:
Musculoskeletal
hours
Neurological
hours
Cardiorespiratory
hours
Other
hours. Please describe area of practice:
Send this form
(including the first page of the form completed by the
Student), along with the documents contain-
ing the information listed under “Documents To Be Sent with the Completed Document Request Form,” to CAPR
(not
the student) at
CANADIAN ALLIANCE OF PHYSIOTHERAPY REGULATORS
1243 Islington Avenue, Suite 501
Toronto, ON M8X 1Y9
CANADA
Telephone: (416) 234-8800
DO NOT FAX OR EMAIL THIS FORM. We will only accept the original copy of this form mailed with the student’s
official transcripts.

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