Rehab Clinical Educations Forms - Cone Health - Greensboro, NC

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Forms for Students

For All Students

At least two weeks prior to your affiliation, you and/or your program must provide the clinical site with various pieces of information contained in this checklist.  Some information may be faxed, mailed or e-mailed to the Center Coordinator of Clinical Education (CCCE).  Please include the completed checklist in your packet.

If you have not received a confirmation e-mail with necessary pre-affiliation information at least three weeks prior to your affiliation, please contact us so that we may provide you with the name of your CI and the site and venue to which you have been assigned. On the morning of your first day, you will report to a pre-designated time and place as outlined in your confirmation e-mail.

Once you have been officially assigned by your school to come to a Cone Health location for a clinical affiliation, other required forms will be sent to you via email.

For Therapeutic Recreation Students Only

In order to apply for an internship lasting a minimum of 14 weeks, the application packet and checklist must be completed by the following deadlines:

  • Spring (January) deadline is October 1st
  • Summer (June) deadline is March 1st
  • Fall (September) deadline is June 1st

All application deadlines are final and no exceptions will be made.  Once your application is reviewed, you may be contacted for a formal interview.

Contact Us

For Recreation Therapy or Physical Therapy:

Rebecca Medendorp Boone, PT, DPT, CCCE
Email Rebecca

For Occupational Therapy or Speech Therapy:

Christina Shaffer, MS, OTR/L, CCCE
Email Christina

For All Specialties, Alamance Regional:

Mike Sherk, PT, CCCE
Email Mike