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Neuroworx Clinic Observation
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Name:
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Email
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What therapies are you hoping to observe?
Adult physical therapy
Adult occupational therapy
Pediatric physical therapy
Pediatric occupational therapy
School level
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Ideal start date
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DD
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YYYY
Goal for total hours
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Please list your availability (preferably on a weekly basis) - Monday through Friday 10AM-5PM
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Please list any other information pertinent to scheduling
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