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The PTCAS form plays a crucial role in the application process for aspiring physical therapists. Designed to streamline the verification of physical therapy observation hours, this form is essential for applicants who need a licensed physical therapist's signature to validate their experiences. It includes sections where applicants must provide their personal information, details about the facility where they gained their experience, and specifics regarding the physical therapist overseeing their observation hours. Notably, the form requires applicants to list their hours in various settings, such as inpatient or outpatient facilities, and to specify the types of patient diagnoses they observed. A licensed PT must complete the form, including their contact information and license details, ensuring that all entries accurately reflect the applicant's experiences. For those who may need to update their hours after the initial verification, the form outlines the process for obtaining a new signature from the PT. This comprehensive approach helps ensure that all applicants meet the necessary criteria for admission into physical therapy programs, making it a vital step in their journey toward becoming healthcare providers.

Common mistakes

  1. Failing to Provide Accurate PT Information: Applicants often forget to include the correct name, license number, and contact details of the physical therapist. This information is crucial for verification purposes.

  2. Neglecting to Sign the Form: Some individuals overlook the requirement for the physical therapist's signature. Without this signature, the form may be deemed invalid, leading to delays in the application process.

  3. Inaccurate Reporting of Hours: It is common for applicants to misreport the number of hours completed or planned. Ensure that the hours listed match what is documented on the signed form.

  4. Not Updating Changes: If there are any changes to the physical therapy experience after the form has been signed, a new verification form must be obtained. Failing to do so can result in discrepancies in the application.

  5. Submitting Incomplete Forms: Applicants sometimes send forms without all required sections filled out, such as the PT’s email or the type of experience. This oversight can lead to processing delays.

Preview - Ptcas Form

Physical Therapy Observation Hours

VERIFICATION FORM: Extra

Form is only intended for use by individuals who need a PT signature for a future admissions cycle Some programs require a licensed PT to verify your physical therapy experiences. If required, provide this completed form to the appropriate PT for signature. Type or neatly handwrite your information directly onto this form, leaving your PTCAS ID number blank. Once you are ready to apply via PTCAS, enter all of your PT experiences on the PTCAS application exactly as they appear on this signed form. Select paper verification type. Print and attach the new (bar-coded) PTCAS verification form to this signed form. The PT does not need to sign the new form, if no changes. Send both forms in a single envelope to PTCAS. NOTE: If there are any changes to your PT experience after this form is signed, a PT must sign a new form to verify your revised hours.

Name of Applicant: _______________________________________________________ PTCAS ID#:_______________________

Name of Facility: ___________________________________________________________________________________________

Street Address for Facility: ___________________________________________________________________________________

City: ___________________________________________

State: ___ ___

Zip/ Postal Code: ________________________

Country: ___________________________________________

 

Name of Physical Therapist: ________________________________________________________________________________

PT License Number: ____________________________ State of PT License: ___ ___ PT Phone #:______________________

Instructions to physical therapist: You must enter your PT licensure information above.

PT Email: ____________________________________________________ PT Will Also Submit a Reference?

Yes

No

Type of Experience:

Paid

Volunteer

Both Start Date: ___________________

End Date: ____________________

PT Settings and Hours of Experience: Check and enter hours for all settings that apply to applica t’s experience in this facility.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INPATIENT Settings: Facility generally admits patients overnight

 

 

Hours Completed

 

 

Hours Planned / In-progress

 

 

 

Acute Care Hospital

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rehabilitation/Sub-acute Rehabilitation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nursing Home/Skilled Nursing Facility/ Extended Care Facility

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Inpatient Facility

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OUTPATIENT Settings: Facility has no overnight patients

 

 

Hours Completed

 

 

Hours Planned / In-progress

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Free-standing PT or Hospital Clinic

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

School/Pre-school

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Wellness/Prevention/Fitness

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Industrial/Occupational Health

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Health

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Outpatient Facility

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL # OF HOURS COMPLETED FOR ALL SETTING

 

 

 

 

 

 

 

 

PT Patient Diagnoses/Populations Observed: Check all below that apply to the applica t’s experience at this facility. If the applicant did not directly observe a PT with a particular patient population, do not check box, regardless of whether the facility provides related services.

General Orthopedic (musculoskeletal)

Pediatrics

Neurologic (neuromuscular)

Sports

Cardiovascular / Pulmonary

Aquatics

Integumentary (wound management)

Wo e ’s Health

Geriatrics

Other

Taking into consideration these characteristics, how do you think this person would perform as a health care provider?

I highly recommend this applicant as a health care provider.

I recommend this applicant as a health care provider.

I recommend this applicant as a health care provider, but with some reservations.

I am not able to recommend this applicant as a health care provider.

I do not have sufficient information about the applicant to respond to this question.

Signature of Physical Therapist

Date

Documents used along the form

The PTCAS form is a crucial component of the application process for prospective physical therapy students. However, several other forms and documents are often required to complement this application. Below is a brief overview of these additional documents.

  • Reference Letters: Most physical therapy programs request letters of recommendation from individuals who can speak to the applicant's qualifications and character. These letters typically come from academic instructors, employers, or licensed physical therapists who have worked closely with the applicant.
  • Transcripts: Applicants must submit official transcripts from all post-secondary institutions attended. These transcripts provide a record of academic performance and are used to assess the applicant's readiness for graduate-level coursework.
  • Mobile Home Bill of Sale: When selling or purchasing a mobile home, it is important to complete the appropriate legal documentation to ensure ownership is securely transferred. For further details, refer to the Mobile Home Bill of Sale.
  • Personal Statement: A personal statement is often required, allowing applicants to articulate their motivations for pursuing a career in physical therapy. This document should reflect the applicant's experiences, goals, and understanding of the profession.
  • Supplemental Application Forms: Some programs may have additional forms that need to be completed as part of the application process. These forms can include specific questions or requirements unique to the institution, such as essays or additional information about the applicant's experiences.

In summary, while the PTCAS form serves as a central document for applications to physical therapy programs, the accompanying forms and documents play a vital role in presenting a comprehensive view of the applicant's qualifications and readiness for the field. Careful attention to each of these components can enhance the overall application package.

Similar forms

The PTCAS form shares similarities with the Common Application used by many colleges and universities. Both documents require personal information and academic history from the applicant. In addition, they both ask for verification of experiences, such as extracurricular activities or work experiences. The Common Application also allows for the submission of letters of recommendation, similar to how the PTCAS form includes a section for the physical therapist to provide a reference for the applicant.

Another document comparable to the PTCAS form is the AMCAS (American Medical College Application Service) application. Like the PTCAS, the AMCAS requires applicants to list their experiences in a structured format, detailing hours spent in various settings. Both applications emphasize the importance of verified experiences, requiring signatures from supervisors or professionals in the field. The AMCAS also includes sections for personal statements and letters of recommendation, paralleling the PTCAS form's need for a PT's endorsement.

The CASPA (Centralized Application Service for Physician Assistants) application is another similar document. Both CASPA and PTCAS focus on gathering verified healthcare experience, requiring applicants to document their clinical hours and settings. Each application includes a section for references, allowing professionals to attest to the applicant’s qualifications. Both forms also emphasize the need for accurate and complete information, ensuring that the admissions committees have a clear understanding of each applicant's background.

For those looking to navigate the vehicle ownership transfer process, accessing the comprehensive Motor Vehicle Bill of Sale document can be highly beneficial. This essential form not only simplifies the transaction but also safeguards the interests of both parties involved. You can find more information and the necessary template at comprehensive Motor Vehicle Bill of Sale.

The NursingCAS (Nursing Centralized Application Service) form also bears resemblance to the PTCAS form. Both require detailed accounts of clinical experiences and hours worked in various healthcare settings. The NursingCAS form includes a verification process where applicants must obtain signatures from nursing supervisors, similar to the PT signature required on the PTCAS form. Additionally, both applications allow for the submission of letters of recommendation to support the applicant's candidacy.

The OptomCAS (Optometry Centralized Application Service) application is another document that aligns with the PTCAS form. Both require applicants to provide a comprehensive overview of their relevant experiences, including hours spent in various optometric or physical therapy settings. Each application also emphasizes the importance of verified experiences, necessitating signatures from licensed professionals. Furthermore, both forms include sections for references, allowing evaluators to comment on the applicant's potential in the respective healthcare field.

Finally, the PharmCAS (Pharmacy College Application Service) application is similar to the PTCAS form in that it collects detailed information about applicants' experiences in healthcare environments. Both forms require applicants to document hours and settings where they gained relevant experience. Each application also includes a verification process, where a licensed professional must confirm the accuracy of the reported experiences. Additionally, both PharmCAS and PTCAS allow for the inclusion of recommendation letters to enhance the applicant's profile.

Dos and Don'ts

When filling out the PTCAS form, there are important guidelines to follow. Here are four things you should and shouldn't do:

  • Do type or neatly handwrite your information on the form.
  • Do leave your PTCAS ID number blank when submitting the verification form.
  • Don't forget to enter all your PT experiences on the PTCAS application as they appear on the signed form.
  • Don't send the forms separately; both forms must be sent in a single envelope to PTCAS.

Following these steps will help ensure your application is processed smoothly. Pay attention to details and verify your information before submission.

Key takeaways

When filling out and using the PTCAS form, keep the following key points in mind:

  • Verification Requirement: Some programs require a licensed physical therapist (PT) to verify your observation hours. Ensure you check the requirements for each program you are applying to.
  • Completing the Form: Fill out the Physical Therapy Observation Hours Verification Form accurately. Type or neatly handwrite your information, leaving the PTCAS ID number blank for now.
  • Signature Needed: Provide the completed form to the appropriate PT for their signature. This is essential for your application.
  • Document Consistency: When you apply via PTCAS, enter all PT experiences exactly as they appear on the signed form. Consistency is crucial for your application.
  • Paper Verification Type: Select the paper verification type on your PTCAS application. This is an important step in the submission process.
  • Bar-coded Form: Print and attach the new bar-coded PTCAS verification form to the signed verification form. The PT does not need to sign the new form if there are no changes.
  • Single Envelope Submission: Send both forms in a single envelope to PTCAS. This helps ensure that your documents are processed together.
  • Changes to Experience: If there are any changes to your PT experience after the form is signed, a PT must sign a new form to verify the revised hours.
  • PT's Evaluation: The PT will provide feedback on your potential as a healthcare provider. Take note of their recommendation, as it may impact your application.

By following these guidelines, you can navigate the PTCAS form process more effectively and enhance your chances of a successful application.

How to Use Ptcas

Completing the PTCAS form is an essential step for those applying to physical therapy programs. This process ensures that your physical therapy experiences are verified by a licensed physical therapist, which is a requirement for some programs. Follow these steps carefully to fill out the form accurately.

  1. Begin by entering your personal information in the designated fields. This includes your name and leaving the PTCAS ID number blank.
  2. Provide the name and address of the facility where you gained your physical therapy experience.
  3. List the name of the physical therapist who will verify your hours, along with their license number and the state where they are licensed.
  4. Fill in the physical therapist's contact information, including their phone number and email address.
  5. Indicate whether the physical therapist will also submit a reference by selecting 'Yes' or 'No.'
  6. Specify the type of experience you had (Paid, Volunteer, or Both) and include the start and end dates of your experience.
  7. Check all applicable inpatient and outpatient settings where you completed your hours, and enter the total hours completed and planned/in-progress for each setting.
  8. Mark all patient diagnoses or populations you observed during your experience at the facility.
  9. Have the physical therapist evaluate your potential as a healthcare provider by selecting one of the provided recommendations.
  10. Finally, the physical therapist must sign and date the form to verify the information provided.

Once the form is completed and signed, you will need to print and attach the new bar-coded PTCAS verification form. Make sure to send both forms together in a single envelope to PTCAS. If there are any changes to your physical therapy experience after the form is signed, a new verification form will be necessary.