OT Skills Checklist Skills Checklist
 
Please rate your level of proficiency of each of the following skills on a scale of 0 to 5.
0: Unfamiliar With   1: Theory; no practice   2: Familiar; need review   3: Some experience; need minimal review   4: Frequent experience; performs well 5: Expert Experience  

In order to associate these ratings with you,
please provide us with your name AND email address.
  First Name: *
  Last Name: *
  Email Address: *

Age
    Adult
    Geriatric
    Infant
    Toddler
    Young Adult
    School Age
Diagnosis
    Cardiac
    Arthritis
    COPD
    Substance Abuse
    Total Knee Arthroplasty
    Total Hip Arthroplasty
    Spinal Cord Injury
    Depression
    CVA
    Spina Bifida
    Burns
    Dysphagia
    Chronic Pain
    Schizophrenia
    Autism
    Cerebral Palsy
    Mental Retardation
    Organ Transplant
    Traumatic Brain Injury
    Hip Trauma
    Parkinson's Disease
    Shoulder Arthroplasty
    Traumatic Hand Injury
    UE Amputation
 
I certify that all of the above information is correct and that any misrepresentation or falsification of fact may be considered sufficient cause for immediate dismissal from Medical Methods. I have completed this skills checklist to the best of my knowledge and agree that all of the information provided is correct.
 
BHAS:  smoketest2:81:BULLHORN_LG232:BULLHORN1041: 296