PTA 2210 Therapet Salt Lake Community SLCC Physical Therapist Assistant Program Collége Modalities Lab Skills Check-Off Form Instructions: You must complete the following sklls check off prior to the day of the practical examination over that modality. You must demonstrate the specific skills to five other students and have each of them initial once you have correctly carried out the skil. You will not be allowed to take the scheduled practical ‘examination unless you present this initialed form verifying that you have demonstrated the skills. Note: For the modalities that do not have a practical examination, you must present this initialed form verifying that you hhave demonstrated the skill to the Instructor on the due date indicated. sia sers_|seta | sera _| sera | seta | ue vate Hot Packs cules [mal ow | Jonr Cryotherapy (various forms!) | CA | A/V pW. 9/17 Hydrotherapy (do not have to Bia |* |x | [se FILL tank all the way) WiC Fluidotherapy Le |sx lh on Paraffin Light Shortwave Diathermy 20/3 spinal Traction 10/13 Uttasound 10/29 Massage 10729 este x |x faa Medium Frequency x | x aa TENS x x Br NMES x x RL lontophoresis RL (perform w/o working ee ie electrodes)