UNC-Chapel Hill Occupational Therapy Program Application OT Observation Record (Note: You can add more lines as needed using the Tools” in Word) “Table Name of OT practice Type of practice (e.g., of Number of Supervising OT contact site skilled nursing, outpt. observation hours OT information rehab, school, etc.) observed (phone or email)
UNC-Chapel Hill Occupational Therapy Program Application OT Observation Record (Note: You can add more lines as needed using the “Table Tools” in Word) Name of OT practice site Type of practice (e.g., skilled nursing, outpt. rehab, school, etc.) of observation Number of hours observed Supervising OT OT contact information (phone or email)
OTobservationrecord.docx