Use the following PDF forms to submit undergraduate observation and direct contact hours to the Director of Clinical Services.
- Observation Log (all undergraduates)
- Observation Session Form (all undergraduates)
- Direct Contact Log (students enrolled in CDIS 4001)
- 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 the last day of classes 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.
Request Proof of Observation and/or Direct Contact Hours
Use this form to request documentation.
Email questions regarding observation forms or direct contact hours to firstname.lastname@example.org