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Get Pta Supervision Registration Form (form #5) - Sdbmoe
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How to fill out the PTA Supervision Registration Form (Form #5) - Sdbmoe online
Completing the PTA Supervision Registration Form (Form #5) online is an essential step for ensuring compliance with supervision regulations. This guide will provide you with clear instructions to fill out each section accurately and effectively.
Follow the steps to complete the form efficiently.
- Press the ‘Get Form’ button to acquire the form and open it in your online editor.
- Enter the supervising therapist's name in the designated field, ensuring accuracy in spelling and capitalization.
- Fill in the supervisor's street address, city, state, and postal code in the specified sections.
- Provide the supervising therapist's phone number and email address for contact purposes.
- Input the South Dakota license number of the supervising therapist in the relevant field.
- For the occupational therapy assistant, record their name and South Dakota license number; if not applicable, write 'N/A'.
- Describe the basis of supervision in the provided section, clearly stating how supervision will be carried out.
- Indicate the proposed practice location, including the name of the company and full address.
- List the occupational therapy school's name, enrollment dates, and employment history with practice locations and dates.
- Finally, certify your understanding and compliance with the Occupational Therapy Practice Act by signing the form and including the date.
- After completing the form, save your changes, download a copy, print it if necessary, or share it as required.
Complete your PTA Supervision Registration Form online today to ensure a smooth supervision process.
Filling out a supervision form requires attention to detail and accuracy. Begin by addressing the required sections systematically, detailing your supervisory relationships, objectives, and activities. The PTA Supervision Registration Form (Form #5) - Sdbmoe is designed to capture the essence of your supervisory experience, so ensure you provide comprehensive information for clarity.
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