Fieldwork Data Form - University Of Southern Maine Page 2
ADVERTISEMENT
1
2
3
4Assessments and Interventions
I.
Assessments:
II.
Interventions:
Role of OT in the Fieldwork Setting:
______ Direct
______ Indirect
Describe Intervention:
Theoretical Model(s) Guiding Practice
Specific Dress Code
___________________________________________________
___________________________________________________
WOMEN:
___________________________________________________
___________________________________________________
___________________________________________________
MEN:
Prerequisites
____ CPR
____ Physical Exam
____ Pediatric CPR
____ Criminal Background Check
____ Universal Precautions (OSHA)
____ Fingerprinting
____ Interview
____ Malpractice Insurance
____ Car Required
____ Immunizations/Tests (Specify Type) ____________________________________
____ Fieldwork Experience (Indicate Type) ___________________________________
____ Other: _____________________________________________________________
1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business