Fillable CDDS 257 Off Campus Hour Log School Placement California State University, Fresno

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CDDS 257 Off Campus Hour Log School Placement California State University, Fresno

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____________________________ ___________________ _____________________
Supervisor’s Signature License # ASHA CCC Account #
California State University, Fresno
Speech, Language & Hearing Clinic
559-278-2422
CDDS 257- STUDENT TEACHING : OFF- CAMPUS SPEECH THERAPY HOUR LOG
____________________________ __________________________________
Clinician Supervisor
_____________________________ ____________
Client Circle One: Adult Child Semester
Date
Lang.
Artic.
Voice
Fluency
Aural Rehab.
Other
Absent
Total
Date
Lang.
Artic.
Voice
Fluency
Aural Rehab.
Other
Absent
TREATMENT HOURS
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CDDS 257 Off Campus Hour Log School Placement California State University, Fresno

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Completed 22 May 2020

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