Please complete this checklist as accurately as possible to help MAS Medical uncover your areas of expertise.

  • The Purpose of this checklist is to more clearly outline the Occupational Therapist's areas of expertise. Please complete this checklist as accurately as possible.


  • Certifications and Expiration Date

    If none, please put n/a.


  • Please indicate your level of experience.

    A. ORTHOPEDICS

  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience

  • B. NEUROLOGIC

  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience

  • C. MODALITIES/MANUAL SKILLS

  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience

  • E. PEDIATRICS

  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience

  • F. ADAPTIVE EQUIPMENT

  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience

  • G. VOCATIONAL TRAINING

  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience

  • H. OTHER

  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience
  • Theory, No PracticeIntermittent Experience1-2 Years of ExperienceMore Than 2 Years of Experience

  • EXPERIENCE WITH AGE GROUPS




  • TOTAL YEARS OF EXPERIENCE WITH SETTINGS


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