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Occupational Therapist
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OTA/COTA Skill Checklist
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Therapy & Allied Healthcare Disciplines
Occupational Therapist
Speech Language Pathologist
Physical Therapist /Physical Therapist Assistant
Therapist Opportunities
Travelling Therapist Opportunities
Benefits Packages
Permanent Placement Opportunities
Medical Traveler FAQs
Hire a Therapist
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PT/LPTA Skill Checklist
SLP Skill Checklist
OTA/COTA Skill Checklist
Cardiac Cath Lab RN Skill Checklist
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Begin your healthcare career with NTG by exploring the opportunities we have available.
PT/LPTA Skill Checklist
First Name
Middle Name
Last Name
Last 4 of SSN#
E-mail address
Phone #
City
State (2 letters)
Please indicate your level of experience based on No experience (1) to perform independently (4)
No theory and/or experience
Limited experience/need supervision and/or support
Experienced/minimal support needed to perform
Proficient/can perform independently
Work setting experiences: Please click (1-4) next to each facility based on experience
Skilled Nursing
1
2
3
4
General Acute Care
1
2
3
4
Long Term Acute Care
1
2
3
4
Inpatient Rehabilitation Hospital
1
2
3
4
Sports Medicine Clinic
1
2
3
4
Outpatient Rehabilitation
1
2
3
4
Pediatric Inpatient/Outpatient
1
2
3
4
Rehabilitation Clinic
1
2
3
4
School System
1
2
3
4
Home Health Care
1
2
3
4
Psychiatric Care
1
2
3
4
Hand Therapy Clinic
1
2
3
4
Adaptive Equipment: Click 1-4: No experience (1) to perform independently (4)
Assessment
1
2
3
4
Augmentative Communication
1
2
3
4
Computer-based treatment
1
2
3
4
Speech/Language/Hearing Disabilities: Click 1-4: No experience (1) to perform independently (4)
Cleft Palate
1
2
3
4
Cognitive Rehabilitation
1
2
3
4
Coma Stimulation
1
2
3
4
Stroke Rehabilitation
1
2
3
4
Dysphagia
1
2
3
4
Hearing impaired
1
2
3
4
Head Injury
1
2
3
4
Fluency and/or stuttering
1
2
3
4
Laryngectomy
1
2
3
4
Neurological
1
2
3
4
Voice
1
2
3
4
Cerebral Palsy
1
2
3
4
Autism Spectrum Disorder
1
2
3
4
Feeding Disorders
1
2
3
4
Learning Language Disabilities
1
2
3
4
Conditions: Click 1-4: No experience (1) to perform independently (4)
ADD / ADHD
1
2
3
4
ALS
1
2
3
4
Anomia
1
2
3
4
Aphasia
1
2
3
4
Aphonia
1
2
3
4
Apraxia
1
2
3
4
Articulation
1
2
3
4
Auditory Comprehension
1
2
3
4
Augmentative / Alternative Communication
1
2
3
4
Bell�s Palsy
1
2
3
4
Birth Defects
1
2
3
4
Broca�s Aphasia
1
2
3
4
Global Aphasia
1
2
3
4
Degenerative Disease
1
2
3
4
Dementia / Alzheimer�s
1
2
3
4
Multiple Sclerosis
1
2
3
4
Muscle Energy Techniques
1
2
3
4
Muscular Dystrophy
1
2
3
4
Neurodevelopment Deficits
1
2
3
4
Neuromuscular Disease
1
2
3
4
Parkinson�s Disease
1
2
3
4
Phonological Disorders
1
2
3
4
Progressive Neurological Disease
1
2
3
4
Reading and Spelling Disorders
1
2
3
4
Sensory Integrative Deficits
1
2
3
4
Traumatic Brain Injury (TBI)
1
2
3
4
Voice Disorders
1
2
3
4
Wernicke�s Aphasia
1
2
3
4
Modalities, Equipments and Procedures: Click 1-4: No experience (1) to perform independently (4)
Adaptive Equipment
1
2
3
4
Augmentative Devices
1
2
3
4
Bedside Swallow Evaluation
1
2
3
4
Behavior Modification
1
2
3
4
Cognitive Training
1
2
3
4
Communication Board / Devices
1
2
3
4
Community Re-entry
1
2
3
4
Compensatory Techniques
1
2
3
4
Computer
1
2
3
4
Feeding Equipment
1
2
3
4
Fiberoptic Voice Evaluation
1
2
3
4
Ventilator Dependent / Assisted
1
2
3
4
Video Fluoroscopy
1
2
3
4
FEEST
1
2
3
4
E-Stim Therapy
1
2
3
4
Vital Stimulation Therapy
1
2
3
4
Inservice Education
1
2
3
4
Myofunctional Therapy
1
2
3
4
Prosthetics - Cleft Palate
1
2
3
4
Rehab Feeding Group
1
2
3
4
Sign Language
1
2
3
4
Tracheostomy
1
2
3
4
Accent Reduction
1
2
3
4
Aural Rehab/Speech Reading
1
2
3
4
Cardiac Rehabilitation
1
2
3
4
Biofeedback - EMG
1
2
3
4
Memory Aide
1
2
3
4
Nasal Cannula
1
2
3
4
Pasameur Valve
1
2
3
4
Safety Awareness
1
2
3
4
Thermal Stimulation
1
2
3
4
Thickening Agents
1
2
3
4
Trach Collar
1
2
3
4
Assessment Tools: Click 1-4: No experience (1) to perform independently (4)
Boston Diagnostic Aphasia Examination
1
2
3
4
Cervical Auscultation
1
2
3
4
Fiber Endoscopic Evaluation Study
1
2
3
4
Minnesota Test for Differential Diagnosis
1
2
3
4
Aphasia
1
2
3
4
Modified Barium Swallow Study
1
2
3
4
Porch Index of Communicative Abilities
1
2
3
4
Reading Comprehension Battery for Aphasia
1
2
3
4
Western Aphasia Battery
1
2
3
4
Age Specific Competency: Click 1-4: No experience (1) to perform independently (4)
Infant - (Birth to 1 Year)
1
2
3
4
Toddler (1-3 Years)
1
2
3
4
Preschool Child (3-5 Years)
1
2
3
4
School Age Child (5-12 Years)
1
2
3
4
Adolescent (12-18 Years)
1
2
3
4
Young Adult (18-44 Years)
1
2
3
4
Middle Age Adult (45-65 Years)
1
2
3
4
Senior Adult (Over 65 Years)
1
2
3
4
Experience in months or years in the following Settings: Click Months or years
Acute Care
Months
Years
Month of Experience
Years of Experience
Inpatient Acute Rehab
Months
Years
Month of Experience
Years of Experience
Day Treatment Center
Months
Years
Month of Experience
Years of Experience
Skilled Nursing Facility
Months
Years
Month of Experience
Years of Experience
Home Health
Months
Years
Month of Experience
Years of Experience
Outpatient
Months
Years
Month of Experience
Years of Experience
Early Intervention
Months
Years
Month of Experience
Years of Experience
Pediatrics/School Age
Months
Years
Month of Experience
Years of Experience
Private Practice
Months
Years
Month of Experience
Years of Experience
Certifications: Month/Day/Year
Certificate-1
Certificate-2
Certificate-3
Please read and agree to the statements below by placing your initials at the end of the statement.
I attest that the information provided is true and accurate to the best of my knowledge. I hereby authorize Nationwide Therapy Group to release the Skills Checklist to the facilities for placement purposes
Date
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