Program Policy Agreement
Physical Therapist Assistant Program
1. Receipt of Indian Hills Community College Physical Therapist Assistant Program Student Handbook
I understand I am responsible to read the Physical Therapist Assistant Program Student Handbook
completely and will be held accountable for complying with all policies and procedures of the Physical
Therapist Assistant Program. It is my responsibility to ask for clarification from the Program Director
regarding any policy or procedure I do not understand. I will read new policies or procedures that are
issued by the program. I understand that I am also responsible to read and comply with the general
student policies of IHCC.
2. Responsibility for Conduct and Actions as a Physical Therapist Assistant Student
I understand that having been admitted to the IHCC Physical Therapist Assistant Program, I am held
responsible for my conduct and actions as a Physical Therapist Assistant student. I understand that breech
of IHCC or the Physical Therapist Assistant Program policies or the Physical Therapist Assistant code of
ethics may result in consultation, and perhaps probation, suspension or dismissal depending on the nature
of my actions. I understand that client safety, privacy and dignity are of the highest priority in Physical
Therapist Assistant.
3. Titles VI and XII of the Civil Rights Act of 1964 and Title IX of the Education Amendments of 1972
I understand that IHCC complies with Titles VI and XII of the Civil Rights Act of 1964, Title IX of the
Education Amendments of 1972, and other federal laws and regulations; and does not discriminate on
the basis of race, color, national origin, sex, age, religion, handicap, or status as a veteran in any of its
policies, practices, or procedures. This includes, but is not limited to admissions, employment, financial aid
and educational services. I understand I may follow the grievance procedure guidelines described in this
handbook if I wish to file a complaint.
4. Medical Treatment
I understand I am responsible for payment for any medical treatment that may be necessary and is not
covered under the provisions of the Iowa Code.
5. Computer User Agreement
As a condition of using the IHCC computer equipment, I agree not to use the equipment to duplicate
copyrighted software in violation of its end user’s license agreement, whether it is my personal copy or is
owned by IHCC. I assume liability for any copyright infringements caused by me.
Name:
Signature: Date:
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