Observers and Volunteers

Are you a college student looking for physical therapy clinic observation hours? Are you studying to become a PT Tech or Physical Therapy assistant? This is the place for you. Fill out the request form below to request becoming an observer student.

PT/OT/Speech Observation

Please complete this form to apply to become an Observer at Therapy SPOT - Bellaire.

Name
First Last
Date of Birth
MM slash DD slash YYYY
Number of hours needed
Date Range
Preferred Schedule
Morning or afternoon?
Month Requested
June 2021 or when available
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Please tell us a little bit about yourself*
Please tell us a why you are looking to become an observer.*
Please download the following forms, complete them, and upload the signed versions below:
All forms must be completed, signed, and uploaded before submitting this request.
Observer Confidentiality and Security Agreement*
Accepted file types: pdf, Max. file size: 64 MB.
Observer Profile and Checklist*
Accepted file types: pdf, Max. file size: 64 MB.
Observer Application*
Accepted file types: pdf, Max. file size: 64 MB.
Observer Statement of Responsibility*
Accepted file types: pdf, Max. file size: 64 MB.
HPH Observer Orientation Packet*
Accepted file types: pdf, Max. file size: 64 MB.
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Phone
This field is for validation purposes and should be left unchanged.

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Observers and Volunteers

PT/OT/Speech Observation

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