Clinical Practicum Handbook & Forms
Audiology
- A-1 Clinical Settings in Nova Scotia -AUD
- A-2 Clinical Settings Outside of Nova Scotia AUD
- B-1 Faculty of Health Statement Regarding Criminal Record Check
- B-2 Clinical Education Checklist AUD
- B-3 Practicum Site Request Form
- B-4 Student Placement Profile
- B-5 Guidelines for Students Participating in International Activities
- B-6 Privacy, Security and Confidentiality
- B-7 Guidelines for Placement AUD
- B-8 Criminal Record Check, Child Abuse Registry & Immunization Records Waiver
- C-1 Clinical Education Contract AUD
- C-2 ACC Instructions with Milestones (English)
- C-3 ACC - Audiology Milestones (English)
- C-4 Rating Scale & Competency Expectations
- C-5 Assessment of Clinical Competence - AUD
- C-6 Student Feedback to Clinical Educator AUD
- C-7 Clinical Practicum Hours AUD
- C-8 Assisting the Struggling Student in a Practicum Placement
- C-9 Clinical Educator Tool AUD
- C-10 Student Self-Evaluation Form
- C-11 Clinical Skills Weekly Feedback Form AUD
- D-1 Student Acknowledgement Form
- E Clinical Certification & Provincial Registration Document Request Form AND Summary of Clinical Practice Hours AUD
- SCSD Clinical Competency Skills EXPECTATIONS
Complete Handbook
Forms
- A-1 Clinical Settings in Nova Scotia -AUD
- A-2 Clinical Settings Outside of Nova Scotia AUD
- B-1 Faculty of Health Statement Regarding Criminal Record Check
- B-2 Clinical Education Checklist AUD
- B-3 Practicum Site Request Form
- B-4 Student Placement Profile
- B-5 Guidelines for Students Participating in International Activities
- B-6 Privacy, Security and Confidentiality
- B-7 Guidelines for Placement AUD
- B-8 Criminal Record Check, Child Abuse Registry & Immunization Records Waiver
- C-1 Clinical Education Contract AUD
- C-2 ACC Instructions with Milestones (English)
- C-3 ACC - Audiology Milestones (English)
- C-4 Rating Scale & Competency Expectations
- C-5 Assessment of Clinical Competence - AUD
- C-6 Student Feedback to Clinical Educator AUD
- C-7 Clinical Practicum Hours AUD
- C-8 Assisting the Struggling Student in a Practicum Placement
- C-9 Clinical Educator Tool AUD
- C-10 Student Self-Evaluation Form
- C-11 Clinical Skills Weekly Feedback Form AUD
- D-1 Student Acknowledgement Form
- E Clinical Certification & Provincial Registration Document Request Form AND Summary of Clinical Practice Hours AUD
- SCSD Clinical Competency Skills EXPECTATIONS
Speech-Language Pathology
- Forms
- Internship
- Fall Practicum
- Externship 2025
- Winter Practicum
- Assessment of Clinical Competence Tool
- Complete Handbook
- A1 Practicum Site Request Form
- A2 Student Placement Profile
- A3 Student Acknowledment Form
- A4 Criminal Record Check, Child Abuse Registry and Immunization Records Waiver
- A5 Faculty of Health Statement Regarding Criminal Records Check
- A6 Privacy, Security and Confidentiality
- A7 Guidelines for Students Participating in International Activities
- B1 S-LP Clinical Education Checklist
- B2 S-LP Clinical Education Contract
- B3 S-LP Guidelines for Fall & Winter Practicum Placements
- B4 S-LP Guidelines for Internship Placement
- B5 S-LP Guidelines for Externship Placement
- B6 Student Clinical Competencies FALL PRACTICUM PLACEMENT - Practicum I Fall II
- B7 Student Clinical Compatencies WINTER PRACTICUM PLACEMENT - Practicum II Winter II
- B8 Student Clinical Competencies INTERNSHIP - Practicum III Summer II
- B9 Student Clinical Competencies EXTERNSHIP - Practicum IV Winter III
- B10 S-LP Assessment of Clinical Competence
- B11 S-LP Student Feedback to Clinical Educator
- B12 S-LP Clinical Practicum Hours
- B13 S-LP Practicum Placement Feedback Form
- B14 S-LP Clinical Skills Checklist
- B15 S-LP Clinical Skills Session Feedback Form
- B16 S-LP Clinical Skills Weekly Feedback Form
- B17 Student Self-Evaluation Form
- B18 Assisting The Struggling Student In a Practicum Placement
- B19 Clinical Activity Ideas for FALL & WINTER Practicum Students - PLACEMENTS WITH PEDIATRIC POPULATIONS (PRESCHOOL AND SCHOOL AGE)
- B20 Clinical Activity Ideas for FALL & WINTER Practicum Students - PLACEMENTS WITH ADULT POPULATIONS
- B21 Clinical and Professional Activity Ideas for INTERNSHIP & EXTERNSHIP Students
- C1 S-LP Therapy Plan Format
- C2 Evaluation Report Template and Sample
- C3 Treatment Summary Report Template and Sample
- E1A Clinical Certification and Provincial Registration Document Request Form
- E1B S-LP Summary of Clinical Practice Hours
- A1 Practicum Site Request Form
- A2 Student Placement Profile
- A3 Student Acknowledment Form
- B2 S-LP Clinical Education Contract
- B4 S-LP Guidelines for Internship Placement
- B8 Student Clinical Competencies INTERNSHIP - Practicum III Summer II
- B10 S-LP Assessment of Clinical Competence
- B11 S-LP Student Feedback to Clinical Educator
- B12 S-LP Clinical Practicum Hours
- B13 S-LP Practicum Placement Feedback Form
- B17 Student Self-Evaluation Form
- B18 Assisting The Struggling Student In a Practicum Placement
- A2 Student Placement Profile
- A3 Student Acknowledment Form
- B2 S-LP Clinical Education Contract
- B3 S-LP Guidelines for Fall & Winter Practicum Placements
- B6 Student Clinical Competencies FALL PRACTICUM PLACEMENT - Practicum I Fall II
- B10 S-LP Assessment of Clinical Competence
- B11 S-LP Student Feedback to Clinical Educator
- B12 S-LP Clinical Practicum Hours
- B13 S-LP Practicum Placement Feedback Form
- B17 Student Self-Evaluation Form
- B18 Assisting The Struggling Student In a Practicum Placement
- B19 Clinical Activity Ideas for FALL & WINTER Practicum Students - PLACEMENTS WITH PEDIATRIC POPULATIONS (PRESCHOOL AND SCHOOL AGE)
- B20 Clinical Activity Ideas for FALL & WINTER Practicum Students - PLACEMENTS WITH ADULT POPULATIONS
- B21 Clinical and Professional Activity Ideas for INTERNSHIP & EXTERNSHIP Students
- A1 Practicum Site Request Form
- A2 Student Placement Profile
- A3 Student Acknowledment Form
- B10 S-LP Assessment of Clinical Competence
- B11 S-LP Student Feedback to Clinical Educator
- B12 S-LP Clinical Practicum Hours
- B17 Student Self-Evaluation Form
- B2 S-LP Clinical Education Contract
- B5 S-LP Guidelines for Externship Placement
- B9 Student Clinical Competencies EXTERNSHIP - Practicum IV Winter III
- E1A Clinical Certification and Provincial Registration Document Request Form
- E1B S-LP Summary of Clinical Practice Hours
- A2 Student Placement Profile
- A3 Student Acknowledment Form
- B2 S-LP Clinical Education Contract
- B3 S-LP Guidelines for Fall & Winter Practicum Placements
- B4 S-LP Guidelines for Internship Placement
- B7 Student Clinical Compatencies WINTER PRACTICUM PLACEMENT - Practicum II Winter II
- B10 S-LP Assessment of Clinical Competence
- B12 S-LP Clinical Practicum Hours
- B13 S-LP Practicum Placement Feedback Form
- B17 Student Self-Evaluation Form
- B18 Assisting The Struggling Student In a Practicum Placement
- B19 Clinical Activity Ideas for FALL & WINTER Practicum Students - PLACEMENTS WITH PEDIATRIC POPULATIONS (PRESCHOOL AND SCHOOL AGE)
- B20 Clinical Activity Ideas for FALL & WINTER Practicum Students - PLACEMENTS WITH ADULT POPULATIONS
- B21 Clinical and Professional Activity Ideas for INTERNSHIP & EXTERNSHIP Students
Forms
- A1 Practicum Site Request Form
- A2 Student Placement Profile
- A3 Student Acknowledment Form
- A4 Criminal Record Check, Child Abuse Registry and Immunization Records Waiver
- A5 Faculty of Health Statement Regarding Criminal Records Check
- A6 Privacy, Security and Confidentiality
- A7 Guidelines for Students Participating in International Activities
- B1 S-LP Clinical Education Checklist
- B2 S-LP Clinical Education Contract
- B3 S-LP Guidelines for Fall & Winter Practicum Placements
- B4 S-LP Guidelines for Internship Placement
- B5 S-LP Guidelines for Externship Placement
- B6 Student Clinical Competencies FALL PRACTICUM PLACEMENT - Practicum I Fall II
- B7 Student Clinical Compatencies WINTER PRACTICUM PLACEMENT - Practicum II Winter II
- B8 Student Clinical Competencies INTERNSHIP - Practicum III Summer II
- B9 Student Clinical Competencies EXTERNSHIP - Practicum IV Winter III
- B10 S-LP Assessment of Clinical Competence
- B11 S-LP Student Feedback to Clinical Educator
- B12 S-LP Clinical Practicum Hours
- B13 S-LP Practicum Placement Feedback Form
- B14 S-LP Clinical Skills Checklist
- B15 S-LP Clinical Skills Session Feedback Form
- B16 S-LP Clinical Skills Weekly Feedback Form
- B17 Student Self-Evaluation Form
- B18 Assisting The Struggling Student In a Practicum Placement
- B19 Clinical Activity Ideas for FALL & WINTER Practicum Students - PLACEMENTS WITH PEDIATRIC POPULATIONS (PRESCHOOL AND SCHOOL AGE)
- B20 Clinical Activity Ideas for FALL & WINTER Practicum Students - PLACEMENTS WITH ADULT POPULATIONS
- B21 Clinical and Professional Activity Ideas for INTERNSHIP & EXTERNSHIP Students
- C1 S-LP Therapy Plan Format
- C2 Evaluation Report Template and Sample
- C3 Treatment Summary Report Template and Sample
- E1A Clinical Certification and Provincial Registration Document Request Form
- E1B S-LP Summary of Clinical Practice Hours
Internship
- A1 Practicum Site Request Form
- A2 Student Placement Profile
- A3 Student Acknowledment Form
- B2 S-LP Clinical Education Contract
- B4 S-LP Guidelines for Internship Placement
- B8 Student Clinical Competencies INTERNSHIP - Practicum III Summer II
- B10 S-LP Assessment of Clinical Competence
- B11 S-LP Student Feedback to Clinical Educator
- B12 S-LP Clinical Practicum Hours
- B13 S-LP Practicum Placement Feedback Form
- B17 Student Self-Evaluation Form
- B18 Assisting The Struggling Student In a Practicum Placement
Fall Practicum
- A2 Student Placement Profile
- A3 Student Acknowledment Form
- B2 S-LP Clinical Education Contract
- B3 S-LP Guidelines for Fall & Winter Practicum Placements
- B6 Student Clinical Competencies FALL PRACTICUM PLACEMENT - Practicum I Fall II
- B10 S-LP Assessment of Clinical Competence
- B11 S-LP Student Feedback to Clinical Educator
- B12 S-LP Clinical Practicum Hours
- B13 S-LP Practicum Placement Feedback Form
- B17 Student Self-Evaluation Form
- B18 Assisting The Struggling Student In a Practicum Placement
- B19 Clinical Activity Ideas for FALL & WINTER Practicum Students - PLACEMENTS WITH PEDIATRIC POPULATIONS (PRESCHOOL AND SCHOOL AGE)
- B20 Clinical Activity Ideas for FALL & WINTER Practicum Students - PLACEMENTS WITH ADULT POPULATIONS
- B21 Clinical and Professional Activity Ideas for INTERNSHIP & EXTERNSHIP Students
Externship 2025
- A1 Practicum Site Request Form
- A2 Student Placement Profile
- A3 Student Acknowledment Form
- B10 S-LP Assessment of Clinical Competence
- B11 S-LP Student Feedback to Clinical Educator
- B12 S-LP Clinical Practicum Hours
- B17 Student Self-Evaluation Form
- B2 S-LP Clinical Education Contract
- B5 S-LP Guidelines for Externship Placement
- B9 Student Clinical Competencies EXTERNSHIP - Practicum IV Winter III
- E1A Clinical Certification and Provincial Registration Document Request Form
- E1B S-LP Summary of Clinical Practice Hours
Winter Practicum
- A2 Student Placement Profile
- A3 Student Acknowledment Form
- B2 S-LP Clinical Education Contract
- B3 S-LP Guidelines for Fall & Winter Practicum Placements
- B4 S-LP Guidelines for Internship Placement
- B7 Student Clinical Compatencies WINTER PRACTICUM PLACEMENT - Practicum II Winter II
- B10 S-LP Assessment of Clinical Competence
- B12 S-LP Clinical Practicum Hours
- B13 S-LP Practicum Placement Feedback Form
- B17 Student Self-Evaluation Form
- B18 Assisting The Struggling Student In a Practicum Placement
- B19 Clinical Activity Ideas for FALL & WINTER Practicum Students - PLACEMENTS WITH PEDIATRIC POPULATIONS (PRESCHOOL AND SCHOOL AGE)
- B20 Clinical Activity Ideas for FALL & WINTER Practicum Students - PLACEMENTS WITH ADULT POPULATIONS
- B21 Clinical and Professional Activity Ideas for INTERNSHIP & EXTERNSHIP Students