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APPLICATION

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We're so excited that you are considering becoming a Master Clinician! In order to apply, please carefully read over the requirements and optional certifications. If you have met all of the required tasks,

JUMP DOWN TO FILL OUT THE APPLICATION!

*Please note that unfortunately, the application does not save on the browser so that you can come back to finish it later. It must all be filled out at once. We encourage you to make sure you have all of the materials collected before starting your application!

MASTER CLINICIAN REQUIREMENTS:

REQUIREMENT 2: ARTICLE APPRAISALS

  • Total of 10 article appraisals are required.

  • Relevant articles on topic are to get chosen for appraisal.

  • You can utilize the template included as a guide for the article appraisal: CLICK HERE FOR THE TEMPLATE.

REQUIREMENT 4: PORTFOLIO

  • Final submission should be in the form of a portfolio that the candidate submits for review in its entirety.

  • Electronic version (PDF Format in a zip file/folder) that includes all required documents in organized fashion.

    • Name, Master Clinician Designation, Facility, Email.

    • Master Clinician Completion Form.

    • Folder 1: CEU Certificates (Saved as one PDF).

    • Folder 2: Article Appraisals (Saved as one PDF); The application process does not support multiple articles to get uploaded as separate files; Will make it uniform to assist getting the appraisals uploaded as one PDF.

    • Folder 3: Case Report (Saved as a PDF).

White Sheet

OPTIONAL CERTIFICATION:

MASTER CLINICIAN APPLICATION

*Please note that unfortunately, the application does not save on the browser so that you can come back to finish it later. It must all be filled out at once. We encourage you to make sure you have all of the materials collected before starting your application!

Name*
Email & Phone*
Employee ID, Affiliated Facility Name, Discipline, City, State & DOR, ED, Therapy Resource Contact Information
Discipline
Short Answers & File Attachments*
Upload Combned .PDF File of All Certifications

2. Attach your 10 Article Appraisals associated with your area of expertise.  Use the template as a guide for the article appraisals. (note: you will need to combine the Article Appraisals into one file.)

Upload Combined .PDF File of 10 Artical Appraisals
Upload Case Report
Master Clinician Applicaton
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