Physical Therapist Assistants Skills Checklist

First Name:
Last Name:
Phone:
Email Address:

Work Settings
General Acute Care	Theory, no practice Intermittent experience Experienced Supervise and Teach
Home Health	Theory, no practice Intermittent experience Experienced Supervise and Teach
Skilled Nursing Facility	Theory, no practice Intermittent experience Experienced Supervise and Teach
Out patient Clinic	Theory, no practice Intermittent experience Experienced Supervise and Teach
Pediatric Rehab	Theory, no practice Intermittent experience Experienced Supervise and Teach
Acute Rehab Hospital	Theory, no practice Intermittent experience Experienced Supervise and Teach
Rehab Unit in Hospital	Theory, no practice Intermittent experience Experienced Supervise and Teach
School System	Theory, no practice Intermittent experience Experienced Supervise and Teach
Psychiatric Hospital	Theory, no practice Intermittent experience Experienced Supervise and Teach
Industrial Medicine	Theory, no practice Intermittent experience Experienced Supervise and Teach
Modalities
Biofeedback	Theory, no practice Intermittent experience Experienced Supervise and Teach
Continuous Passive/Motion Machine	Theory, no practice Intermittent experience Experienced Supervise and Teach
Cryotherapy	Theory, no practice Intermittent experience Experienced Supervise and Teach
Ergometer	Theory, no practice Intermittent experience Experienced Supervise and Teach
Hot/Cold Packs	Theory, no practice Intermittent experience Experienced Supervise and Teach
Fluidotherapy	Theory, no practice Intermittent experience Experienced Supervise and Teach
Hubbard Tank	Theory, no practice Intermittent experience Experienced Supervise and Teach
Massage Therapy	Theory, no practice Intermittent experience Experienced Supervise and Teach
Muscle Stimulation	Theory, no practice Intermittent experience Experienced Supervise and Teach
Myofacial Release Technique	Theory, no practice Intermittent experience Experienced Supervise and Teach
Neuromuscular/Reeducation	Theory, no practice Intermittent experience Experienced Supervise and Teach
Paraffin	Theory, no practice Intermittent experience Experienced Supervise and Teach
Sterilization Technique	Theory, no practice Intermittent experience Experienced Supervise and Teach
Neuro
Cerebral Vascular Accident (CVA)	Theory, no practice Intermittent experience Experienced Supervise and Teach
Hard Trauma	Theory, no practice Intermittent experience Experienced Supervise and Teach
Spinal Cord Injury	Theory, no practice Intermittent experience Experienced Supervise and Teach
Parkinsons Disease	Theory, no practice Intermittent experience Experienced Supervise and Teach
Coma Patients	Theory, no practice Intermittent experience Experienced Supervise and Teach
Traumatic Brain Injury	Theory, no practice Intermittent experience Experienced Supervise and Teach
Orthopedics
Arthritis Programs	Theory, no practice Intermittent experience Experienced Supervise and Teach
Back Syndrome	Theory, no practice Intermittent experience Experienced Supervise and Teach
Gait Training	Theory, no practice Intermittent experience Experienced Supervise and Teach
Hand Injury	Theory, no practice Intermittent experience Experienced Supervise and Teach
Hip Fractures	Theory, no practice Intermittent experience Experienced Supervise and Teach
Mobilization Techniques	Theory, no practice Intermittent experience Experienced Supervise and Teach
Neck Injuries	Theory, no practice Intermittent experience Experienced Supervise and Teach
TMJ Dysfunction	Theory, no practice Intermittent experience Experienced Supervise and Teach
Total Hip/Total Knee	Theory, no practice Intermittent experience Experienced Supervise and Teach
Total Joint Replacement	Theory, no practice Intermittent experience Experienced Supervise and Teach
Pediatrics
Adaptive Equipment Assessment	Theory, no practice Intermittent experience Experienced Supervise and Teach
Cerebral Palsy	Theory, no practice Intermittent experience Experienced Supervise and Teach
Developmental Screening	Theory, no practice Intermittent experience Experienced Supervise and Teach
Sequencing Test	Theory, no practice Intermittent experience Experienced Supervise and Teach
Early Intervention	Theory, no practice Intermittent experience Experienced Supervise and Teach
Equipment Assessment	Theory, no practice Intermittent experience Experienced Supervise and Teach
Learning Disabilities	Theory, no practice Intermittent experience Experienced Supervise and Teach
NDT Bobath Testing	Theory, no practice Intermittent experience Experienced Supervise and Teach
NICU Treatment	Theory, no practice Intermittent experience Experienced Supervise and Teach
Orthotics	Theory, no practice Intermittent experience Experienced Supervise and Teach

Licenses
State(s):
License Number(s):
Expiration:

Comments:

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I attest that the information given is true and accurate to the best of my knowledge and that I am the one completing this form.

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