Experience the world as a travel PT, OT, or SLP

Skills Checklist for our PT, OT, & SLP Travelers

  • PT
  • PTA
  • OT
  • COTA
  • SLP

PT Checklist

First Name :
Last Name :
Phone :
Email :

1 = No Experience 3 = Experienced
2 = Intermittent Experience 4 = Supervise and Teach

BACKGROUND   1   2   3   4
Rehab Clinic
Rehab Hospital
Skilled Nursing Care Facility
Sports Medicine Clinic
Children's Hospital
General Acute Care Facility
School Setting
Inpatient
Outpatient
MODALITIES / SKILLS   1   2   3   4
Muscle Stimulation
Paraffin Bath
Acuscope
Biofeedback
Continuous Passive Machine
Craniosacral Therapy
Diathermy
Electro-accupuncture
Extremity Mobilization
Fluidotherapy
Hot/Cold Packs
Hubbard Tank
Therapeutic Pool
Whirlpool
Massage
Muscle Energy Techniques
Neuro Probe
Strain/Counterstrain Techniques
Spinal Mobilization
TENS
Cervical Traction
Lumbar Traction
Ultrasound
Wound Dressing
NEUROLOGIC   1   2   3   4
Head Trauma
Stroke Rehabilitation
Neurosurgery
Spinal Cord Injuries
Adaptive Equipment
Functional Splinting
ORTHOPEDIC   1   2   3   4
Arthritis Programs
Hip Fractures
Backs
Hand Injuries
Mobilization Techniques
Total Joint Replacement
Total Hip / Knee Replacement
Transmandibular Joint Dysfunction
Neck Injuries
SPORTS   1   2   3   4
Bracing/joint Immobilization
Biodex
Cybex
LIDO
Orthotron
Nautilus/Eagle
Strength and Endurance Training
PROSTHETICS/ORTHOTICS   1   2   3   4
Above Knee Prosthetics
Below Knee Prosthetics
Upper Extremity Prosthetics
Ankle Foot Orthosis
PEDIATRICS   1   2   3   4
Orthotics
Early Intervention
Equipment Assessment
Neurodevelopmental Treatment
OTHER   1   2   3   4
Burn Management
Cardiac rehabilitation
Inservice Education
Wheelchair/equipment assessment

By Checking this Box I agree to the following statements; that I the provided information is true and correct to the best of my knowledge, I acknowledge that by checking this box I a certifying that I agree that this is to be treated as an electronic signature. I agree that I am electronically signing as a representation of myself.


PTA Checklist

First Name :
Last Name :
Phone :
Email :

1 = No Experience 3 = Experienced
2 = Intermittent Experience 4 = Supervise and Teach

BACKGROUND   1   2   3   4
Rehab Clinic
Rehab Hospital
Skilled Nursing Care Facility
Sports Medicine Clinic
Children's Hospital
General Acute Care Facility
School Setting
Inpatient
Outpatient
MODALITIES / SKILLS   1   2   3   4
Muscle Stimulation
Paraffin Bath
Acuscope
Biofeedback
Continuous Passive Machine
Craniosacral Therapy
Diathermy
Electro-accupuncture
Extremity Mobilization
Fluidotherapy
Hot/Cold Packs
Hubbard Tank
Therapeutic Pool
Whirlpool
Massage
Muscle Energy Techniques
Neuro Probe
Strain/Counterstrain Techniques
Spinal Mobilization
TENS
Cervical Traction
Lumbar Traction
Ultrasound
Wound Dressing
NEUROLOGIC   1   2   3   4
Head Trauma
Stroke Rehabilitation
Neurosurgery
Spinal Cord Injuries
Adaptive Equipment
Functional Splinting
ORTHOPEDIC   1   2   3   4
Arthritis Programs
Hip Fractures
Backs
Hand Injuries
Mobilization Techniques
Total Joint Replacement
Total Hip / Knee Replacement
Transmandibular Joint Dysfunction
Neck Injuries
SPORTS   1   2   3   4
Bracing/joint Immobilization
Biodex
Cybex
LIDO
Orthotron
Nautilus/Eagle
Strength and Endurance Training
PROSTHETICS/ORTHOTICS   1   2   3   4
Above Knee Prosthetics
Below Knee Prosthetics
Upper Extremity Prosthetics
Ankle Foot Orthosis
PEDIATRICS   1   2   3   4
Orthotics
Early Intervention
Equipment Assessment
Neurodevelopmental Treatment
OTHER   1   2   3   4
Burn Management
Cardiac rehabilitation
Inservice Education
Wheelchair/equipment assessment

By Checking this Box I agree to the following statements; that I the provided information is true and correct to the best of my knowledge, I acknowledge that by checking this box I a certifying that I agree that this is to be treated as an electronic signature.  I agree that I am electronically signing as a representation of myself.



OT Checklist

First Name :
Last Name :
Phone :
Email :

1 = No Experience 3 = Experienced
2 = Intermittent Experience 4 = Supervise and Teach

SETTINGS   1   2   3   4
Inpatient
Outpatient
Hospital
Skilled Nursing Facility
Children's Hospital
School System
Clinics
General Acute Care Facility
MODALITIES   1   2   3   4
Biofeedback
Edema Massage
Feeding Techniques
Fluidotherapy
Muscle Stimulation
Oral motor Facilities
Paraffin Bath
Theraputic Pool
TENS
ORTHOPEDIC   1   2   3   4
General Orthopedics (Knee, Shoulder, Ankle)
Arthritis Programs
Energy Conservation
Joint Protection
Hip Fractures
Hand Injury
Mobilization Techniques
Theraputic Exercise
Total Hip/Knee Replacement
NEUROLOGICAL   1   2   3   4
CVA
Head trauma
Peripheral Nerve Injuries
Stroke Rehabilitation
Spinal Cord Injury
Adaptive Equipment
Functional Splinting
Wheelchair Evaluation
Gullian Barre
Open Hearts
PSYCHIATRIC   1   2   3   4
Acute Disorders
Chronic Disorders
Crisis Intervention
Community Re-entry
Substance Abuse
Group Treatment
Standardized Assessment Tools
Development Testing
Discharge Planning
Neurodevelopment Treatment
ADAPTIVE EQUIPMENT   1   2   3   4
Assessment
Fabrication
Functional Activities
ADLs
Home Enviroment
Pre-discharge Planning
Splinting
Wheelchair
VOCATIONAL TRAINING   1   2   3   4
Cognitive Assessment
Functional Capacity Evaluation
Job Task Analysis
Perceptual Assessment
Work Hardening
BTE
Valpar
PEDIATRICS   1   2   3   4
Neurodevelopmental Testing
Sensory Integrative Testing
Visual Perceptual Skills Testing
Activities of Daily Living
Orthotics
Learning Disabilities
Autism
Cerebal Palsy
Down's Syndrome

By Checking this Box I agree to the following statements; that I the provided information is true and correct to the best of my knowledge, I acknowledge that by checking this box I a certifying that I agree that this is to be treated as an electronic signature.  I agree that I am electronically signing as a representation of myself.



COTA Checklist

First Name :
Last Name :
Phone :
Email :

1 = No Experience 3 = Experienced
2 = Intermittent Experience 4 = Supervise and Teach

SETTINGS   1   2   3   4
Inpatient
Outpatient
Hospital
Skilled Nursing Facility
Children's Hospital
School System
Clinics
General Acute Care Facility
MODALITIES   1   2   3   4
Biofeedback
Edema Massage
Feeding Techniques
Fluidotherapy
Muscle Stimulation
Oral motor Facilities
Paraffin Bath
Theraputic Pool
TENS
ORTHOPEDIC   1   2   3   4
General Orthopedics (Knee, Shoulder, Ankle)
Arthritis Programs
Energy Conservation
Joint Protection
Hip Fractures
Hand Injury
Mobilization Techniques
Theraputic Exercise
Total Hip/Knee Replacement
NEUROLOGICAL   1   2   3   4
CVA
Head trauma
Peripheral Nerve Injuries
Stroke Rehabilitation
Spinal Cord Injury
Adaptive Equipment
Functional Splinting
Wheelchair Evaluation
Gullian Barre
Open Hearts
PSYCHIATRIC   1   2   3   4
Acute Disorders
Chronic Disorders
Crisis Intervention
Community Re-entry
Substance Abuse
Group Treatment
Standardized Assessment Tools
Development Testing
Discharge Planning
Neurodevelopment Treatment
ADAPTIVE EQUIPMENT   1   2   3   4
Assessment
Fabrication
Functional Activities
ADLs
Home Enviroment
Pre-discharge Planning
Splinting
Wheelchair
VOCATIONAL TRAINING   1   2   3   4
Cognitive Assessment
Functional Capacity Evaluation
Job Task Analysis
Perceptual Assessment
Work Hardening
BTE
Valpar
PEDIATRICS   1   2   3   4
Neurodevelopmental Testing
Sensory Integrative Testing
Visual Perceptual Skills Testing
Activities of Daily Living
Orthotics
Learning Disabilities
Autism
Cerebal Palsy
Down's Syndrome

By Checking this Box I agree to the following statements; that I the provided information is true and correct to the best of my knowledge, I acknowledge that by checking this box I a certifying that I agree that this is to be treated as an electronic signature.  I agree that I am electronically signing as a representation of myself.



SLP Checklist

First Name :
Last Name :
Phone :
Email :
CCC's : Yes
No

1 = No Experience 3 = Experienced
2 = Intermittent Experience 4 = Supervise and Teach

SETTINGS   1   2   3   4
Acute Care
Inpatient Acute Rehab
Day Treatment Center
Skilled Nursing Facility
Home Health
Outpatient
Early Intervention
Pediatrics/School Age
Private Practice
ASSESSMENT TOOLS   1   2   3   4
Porch Index of Communicative Abilities
Minnesota Test for Differential Diagnoses of Aphasia
Boston Diagnostic Aphasia Examination
Boston Assessment of Severe Aphasia
Western Aphasia Battery
Rehab Institute of Chicago Evaluation of Communication
Reading Comprehension Battery for Aphasia
Bedside swallow Evaluation
Modified Barium Swallow Study
Pure Tone Screening
Augmentative Devices
PATIENT POPULATIONS   1   2   3   4
Anoxia
CVA
Dementia
Hearing Impaired
Progressive Neurologic Disease
TREATMENT   1   2   3   4
Individual
Group
Co-Treatment
Community Re-entry
Augmentative Devices
Computer
Behavior Modification
TYPES OF DISORDERS   1   2   3   4
Aphasia
Apraxia
Dysarthria
Hearing Loss
Dysphagia
REGULATIONS   1   2   3   4
Omnibus Budget Reconciliation Act
Medicare
Medi-Cal

By Checking this Box I agree to the following statements; that I the provided information is true and correct to the best of my knowledge, I acknowledge that by checking this box I a certifying that I agree that this is to be treated as an electronic signature.  I agree that I am electronically signing as a representation of myself.