Physical Therapy Observation Request Form

Please allow at least 2 weeks for processing time from the time you submit the request, and even longer than that during the summer months as that is our peak season of high volume for requests and our response times will be delayed. You are NOT cleared to come observe until you have been cleared through our Education Services office and have received an official approval email from Education Services. If you do not allow the required processing time, we will be unable to process your request.

Before you submit your request for observation, please make sure you already have the following required immunizations already gathered and ready to submit after your observation experience has been arranged:

    1. MMR (vaccination series documentation [2 shots in the series] or titer showing proof of immunity for measles, mumps, and rubella)
    2. Varicella (vaccination series documentation [2 shots in the series] or titer showing proof of immunity)
    3. TB test results within last 12 months (or clear chest x-ray within last 5 years if past positive TB)
    4. Current season flu vaccination (if observation will occur any time between October 1st and March 31st)

Thank you for your interest in a physical therapy observation. We have a temporary HOLD on observations until October 1, 2019.