Clinical Forms

Use the following PDF forms to submit undergraduate observation and direct contact hours to the Director of Clinical Services.

Forms

Instructions

  • Print or save the log form (landscape mode - both for direct contact and for observation) and the session form (portrait mode).
  • Make copies of the blank session forms because you will be using those for every session you observe.
  • Track your minutes on the log forms and get ASHA numbers and signatures.
  • Use blue or black ink
  • Deliver forms by Dead Day to Aletha Cook's mailbox Epley Center (ECHP 273)
  • Forms will be signed and scanned
  • Digital copies will be emailed to your UARK email account.

Questions

Email questions regarding observation forms or direct contact hours to alecook@uark.edu