Asha cf rating form 2021-2026

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  1. Click ‘Get Form’ to open the asha cf rating form 2021 in the editor.
  2. Begin by filling out Section 1, which requires your personal information. Ensure you provide your full name, home address, and contact details clearly.
  3. In Section 2, enter your mentor's information. Confirm that they hold current ASHA certification and sign where indicated.
  4. Proceed to Section 3 to document the facility name and address where your clinical fellowship took place.
  5. For Section 4, input the start and end dates of your SLPCF experience along with the total number of weeks worked.
  6. In Section 5, detail the hours spent on various activities related to direct clinical contact. Be precise and avoid using ranges.
  7. Complete Section 6 by circling ratings for each skill based on your performance during the fellowship. Discuss these ratings with your mentor.
  8. Finally, ensure all sections are filled out completely before signing in Sections 7 and 8. Submit the form once finalized.

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Verification Letter Requests Requests may be made by either of the following methods: E-mail: certification@asha.org. Phone: Action Center at 800-498-2071, 8:30 a.m.5:00 p.m. Eastern time (MondayFriday)
Submit Online Once you have completed all 30 PDHs for your current interval, including professional development requirements for the areas of ethics and CC/DEI, you can quickly and easily submit your Compliance Form online. Login to the My Account section of the ASHA website.
The CF experience is a minimum of 36 weeks of full-time clinical work, totaling no less than 1,260 hours. Confirm your mentor will complete the minimum hours of direct and indirect observation. Review the CFSI form to make that all skills have been rated and all information is accurate.
Duration of the CF Experience As a Clinical Fellow, you must work at least 36 weeks and 1,260 hours to meet the ASHA CF experience requirement. In addition, you must work at least 5 hours per week to be able to count the hours/week toward the minimum requirement.
The Clinical Fellow should enter the CF experience on their online application. Mentors then should verify the hours and enter the Clinical Fellows scores online. Mentors and Clinical Fellows should not submit paper copies to ASHA but, rather, should keep them for their own records.

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