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Occupational Therapy Assistant

 

 

 

FORMS

 

OTA STUDENT PROGRAM FORMS - THESE FORMS MUST BE DATED WITHIN A SPECIFIC DATE RANGE TO BE VALID.  PLEASE REFER TO YOUR ORIENTATION PACKET FOR THE DATE RANGE.

Background check/drug screen, TB, malpractice insurance and physical examination must be repeated each year of the OTA Program.  CPR is valid for 2 years.  These requirements must be current during the entire OTA Program. 

1.  Student Forms/2014 OTA STUDENT CHECKLIST 1st year.pdf

      Student Forms/2014 OTA STUDENT CHECKLIST 2nd year.pdf

2.  Background Check/Drug Screen

             The day of your urine drug test, DO NOT drink more than 8 oz. of any liquid .  If you drink an
             excessive amount of liquid prior to conducting your urine drug screen, the results will be
             diluted and/or altered and therefore incomplete.  If your drug screen results come back
             dilute, you will not be able to be placed in clinical settings therefore, you will be ineligible to
             enter the OTA program.

3.  Malpractice Insurance - please do this online

4.  CPR Resources - American Heart Association Basic Life Support for Health Care Providers ONLY

5.  Tuberculin Skin Test Form

6.   Immunization Form  or Immunization Waiver Form

7.  Physical Exam Form

8.  FLU VACCINE FORM or  H1N1/Flu Vaccine Decline Form **  see OTA Handbook regarding waiver

9.  OTA Essential Functions   &  OTA Essential Function Skills Form

10.Consent Form

11.HEALTH INSURANCE RESOURCES

12.  OT Practice, AJOT, OT Search Engine Resources - Student Plus Membership or individual subscriptions available.

13 MARCH 2014 OTA STUDENT HANDBOOK SIGNATURE PAGE

 

OTA STUDENT CLINICAL SITE FORMS

All OTA Students will be asked to complete the following paperwork for Sharp Healthcare during their third week of the Fall semester.

Sharp Healthcare-

Read the modules listed on the following link:

  http://www.sharp.com/b2b/students/student-education-modules.cfm

To be turned in to Grossmont College OTA Office:  There are 9 tabs marked either Anc or All that you need to print, read and complete at the following link:

  http://www.sharp.com/b2b/students/student-orientation-materials-forms.cfm

HIPAA TRAINING AND STANDARD PRECAUTIONS

http://healthsciences.ucsd.edu/compliance/privacy/hipaa-training/Pages/training-non-ucsd-members.aspx  - Second year OTA students must read the module, print the HIPAA Privacy Posttest and answer the questions.  Fill in date, name and title (student) and submit to the OTA Office with your second year paperwork.

 

www.cdc.gov/HAI/ppt/ppe/PPEslides6-29-04.ppt - Second year OTA students must read the powerpoint, print the test below, complete test, fill in date and name, and submit to the OTA Office with your second year paperwork.  STANDARD PRECAUTIONS POST-TEST

 

OTA STUDENT FIELDWORK FORMS

Student Forms/level I fieldwork evaluation.pdf

Worker's Compensation - Fieldwork Injuries

 

OTA EXIT AND RE-ENTRY FORMS

Exit Form
Re-entry Form

 

 

 

 

Occupational Therapy Professional Links:

 

 

 

 

 

Occupational Therapy Association of California

 

 

 

 

click here to download from external link to Adobe website

 

 

 

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