Information for Clinical Instructors - Forms

Clinical Site Information Form (CSIF)PDF File
Programs/schools that your facility contracts with for student placements are strongly advised by CAPTE to have this completed and updated form on file. At your convenience, please complete or have a representative of your department complete the form and submit it to each affiliating school’s ACCE/DCE.

2015-2016 BPCC PTA Student Commitment FormPDF File
Complete this form to document for the Program the number of students you will be able to accept for each of the clinical rotation "slots" this academic year. Return to the BPCC PTA Program ACCE, Kim Cox either by email ( or fax (318-678-6199) at your convenience.

Guide for Assessing Affective SkillsPDF File
Use this guide for language and examples that may be helpful in assessing and documenting PTA student affective skill performance as it relates to the Professional Behaviors section of the PTA MACS instrument. Please remember to involve the ACCE (Kim Cox as early as possible when deficits are identified in these areas so that she may help you in providing feedback to the student and in formulating a plan/goals for student improvement.