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SPEECH-LANGUAGE PATHOLOGY
SUMMARY OF CLINICAL PRACTICE HOURS
TOTAL HOURS OF CLIENT CONTACT (hours to be rounded up to nearest quarter hour)
Name:_________________________________ Unit and Dates: ________________________________ Placement Site: ____________________________________
ASSESSMENT/ IDENTIFICATION (Ax)
TREATMENT/ MANAGEMENT (Tx)
Client Specific Services
Client Related Services
Client Specific Services
Client Related Services
Clinical/Professional Activities
Sub-Total Hours
Total All Age
Min. Req. Hours
AGE GROUP:
C = Child
A = Adult
C
LANGUAGE Developmental
A
40
C
LANGUAGE Acquired
A
30
C DYSPHAGIA
A
10
C
ARTICULATION/ PHONOLOGY
A
20
C MOTOR SPEECH
A
10
C FLUENCY
A
10
C VOICE/RESONANCE
A
10
40
C
OTHER – approval needed Clinical Education Coordinator
A
C AUDIOLOGY-MINOR
A
20
Ax Minimum Required Tx Minimum Required Maximum: 50 Hours
TOTAL HOURS
C/20
C/20
C
50
TOTAL HOURS
A/20
A/20
A
50
TOTAL CLIENT HOURS
ASSESSMENT HOURS (Min. Required = 100) :
TREATMENT HOURS (Min. Required = 100):
GRAND TOTAL:
350 2014
_______________________________________________ ____________________________________________________________ ________________________________
Signature (Student) Signature (Clinical Educator Signs) Date