Physical Therapist Assistant - Application Checklist

In order to be eligible for admission to the Physical Therapist Assistant program, students must complete the following eligibility requirements. Students will be accepted on a first-come, first-served basis. The first 24 students to complete the eligibility requirements will be accepted each Spring.

Spring Term (January) - Priority deadline is September 1

Eligibility Requirements

Please note that BIO-168 Human Anatomy and Physiology I with Labs is required in the first semester of the Physical Therapist Assistant program, and it has a prerequisite of "Human Biology, General Biology I, or one year of high school anatomy and physiology". Students must have the prerequisite for Human Anatomy and Physiology I completed before being eligible to begin Physical Therapist Assistant program courses in the first semester of the program. 

Additionally, students accepted to the Physical Therapist Assistant Program should be aware of the following course prerequisites occurring in the second and third semesters of the program:

  • BIO-209 Kinesiology is required in the second semester of the program, and it has a prerequisite of "a grade of 'B' or higher in Anatomy and Physiology I with Labs"
  • BIO-211 Pathophysiology is required in the third semester of the program, and it has a prerequisite of "a grade of 'B' or higher in Anatomy and Physiology II with Labs"

It is the responsibility of the student to ensure that all admissions requirements are documented in the Office of Admissions.

Physical Therapist Assistant Program - Observation Form for Prospective Students

To be completed by the student and signed by the participating Physical Therapist (PT) or Physical Therapist Assistant (PTA).

 

Student name (print or type): _________________________________________ Date of Birth: _________________________

The purpose of the observation is to expose applicants to a wide-variety of procedures and practices performed by a Physical Therapist Assistant (PTA) or Physical Therapist (PT). Applicants are required to complete a minimum of 20 hours of observation. Although applicants are encouraged to observe a variety of procedures, they are required to observe specific procedures, which are detailed below.

In order to successfully complete this requirement for admission, applicants must:

  1. Complete a minimum of 20 hours of observation.

  2. Complete the Required Procedures for Observation detailed below, and ensure that the supervising Physical Therapist Assistant (PTA) or Physical Therapist (PT) initials and dates each Required Procedure for Observation.
  3. Complete the Observation Details by indicating which procedures they observed and in what setting they observed those procedures in by placing check marks in the appropriate boxes.
  4. Complete the Observation Log by documenting the times and dates for each observation.
  5. Ensure that the supervising Physical Therapist Assistant (PTA) or Physical Therapist (PT) completes the Physical Therapist Assistant (PTA) or Physical Therapist (PT) Certification section .
  6. Sign and date the Applicant Certification section and submit it to the Office of Admissions.

Since you will be representing Iowa Western during observation, please follow these guidelines:

  • Arrive promptly at your appointed observation time
  • Introduce yourself and state the purpose for being there
  • There is a dress code required during your observation hours. You are observing in a professional setting and will be required to wear business casual clothing.
    • Collared shirt with sleeves (no sleeveless tops)
    • Slacks (Kakis or dress pants)
    • Closed toe shoes
    • Socks or hosiery should be worn
    • Visible tattoos should be covered
    • Avoid visible body piercings other than ears
    • Avoid jeans, shorts, capris and open toe shoes
    • Avoid showing skin between shirt and top of pants

Required Procedures for Observation

The following procedures are required for observation. The supervising Physical Therapist Assistant (PTA) or Physical Therapist (PT) must initial and date next to each observed procedure.

Procedure Required for Observation Supervising PTA or PT Initials Date of observation
Modalities (must observe all three):
Heat/Cold
Ultrasound
Electrical
   
Spine/Extremities (must observe all five):    
Cervical Spine
   
Lumbar Spine
   
Shoulders
   
Hips
   
Knees
   
Interventions (must observe all three):    
Gait Training
   
Balance Training
   
Transfer Training
   

Observation Details

In addition to the Required Procedures for Observation, applicants are required to document each additional procedure they observe during their 20 hours of observation. Applicants are encouraged to observe a wide variety of practices and procedures, and document them using the chart below.

Practice/Procedure Date Practice/Procedure Date
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       

Observation Log

Applicants are required to document the times and dates of their observation hours using the log below.

Date Time In  Time Out Hours
 

 

 

 
       
       
       
 

 

 

 
 

 

 

 
       
       
       
       
    Total Observation Hours  

Physical Therapist Assistant (PTA) and/or Physical Therapist (PT) Certification

This section must be completed by the supervising PTA and/or PT

By signing below, I hereby certify that the information provided on this form is true and accurate.

Signature(s) of PTA and/or PT: _______________________________________, __________________________________

Printed Name(s) of PTA and/or PT: ____________________________________, __________________________________

Name of Clinic or Facility:

Address of Clinic or Facility:

Phone Number of Clinic or Facility:

Applicant Certification

By signing below, I hereby certify that all information on this form is true and correct.

Signature of Student: ______________________________________ Date: ____________________

This form can be found online at www.iwcc.edu/es/admissions/information