Forms and Syllabi

Please click on any of the following forms to open it

Anectdotal Record

ICE Clinical Instuctor Evaluation (sample)

ICE I Checklist (sample)

ICE II Checklist (sample)

Release of Information Form

Student Data Form (sample)

Student Directed Learning Plan - ICE

Student Directed Learning Plan - CE

Weekly Planning and Review Form

Glossary of Terms

Messiah University Academic Affiliation Agreement

Professional Behaviors Standards

Student Placement Packet

- PHTH 652 - Integrated Clinical Experience I

- PHTH 752 - Integrated Clinical Experience II

- PHTH 772 - Clinical Experience I

- PHTH 832 - Clinical Experience II

- PHTH 852 - Clinical Experience III

- PHTH 872 - Clinical Experience IV

- PHTH 881 - PT Profession VIII - CE Synopsis