Communicative Disorders Program Department of Special Education

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Information for Students Starting or Preparing for On-Campus Clinical Practica

The "on-campus" clinics are those operated by the SFSU CD Clinic and supervised by the CD faculty (including a clinic at the Mission Head Start, which is not actually located on the SFSU campus). You will be placed in a total of three on-campus clinics – two for children (CD880/CD711-C1 and CD880/CD713-C2) and one for adults (CD880/CD713-A). We offer specialty clinics for adults and both general and specialty clinics for children. Most students acquire between 35-50 child hours and 15-25 adult hours after completing on-campus clinics.


Clinical practica are opportunities for you to put your knowledge to practice. Please start by downloading the Clinician's Handbook, the Client Confidentiality and Privacy Protocol, and viewing the ASHA Code of Ethics. Read them before you begin your first clinic and use them as references throughout your clinical assignments. The handbook is your ultimate guide to the clinical experience in the CD Program. On this page are some highlights and reminders to keep you on track.

Meet with an Advisor

It's essential that you meet with an advisor before signing up for a clinic or internship. Your advisor will work with you to make sure that you've met all the prerequisite needed and to help you request the practicum experience that will best meet your professional goals.

Submit a Clinic Request Form for the upcoming semester

Clinical practicum placements must be requested one semester in advance by the posted deadline every semester (see program calendar).

The sequence for clinical practica starts with three on-campus clinics (typically 2 semesters of child clinics followed by 1 semester of adult clinic). The on-campus Child Clinic options include: General Child Language/Articulation Clinics; Autism Spectrum Disorders Clinic; AAC Child Clinic; Mission Head Start; or the SFSU Early Childhood Education Center. The on-campus Adult Clinic options include: AAC Adult Clinic; Neurogenics Clinic; and Accent Modification Clinic. Descriptions of these clinics are available in the Speech-Language Clinic area of our website.

Complete 25 Hours of Observation

Before you can start your first practicum, you must have completed 25 hours of observation of clinical work conducted by SLPs who hold current ASHA certification (CCC) and who can sign for your observation hours.

Pay the $35 Lab Fee

All student clinicians enrolled in clinical practicum on campus must pay a lab fee each semester. Checks are made out to SFSU CD CLINIC and must be submitted prior to working with your client.

Keep Track of Your Clock Hours

Semester Clock Hours. Tracking your clock hours throughout the semester for each clinical practicum using the SC10: Clock Hours Form (downloadable in pdf or doc). Each clinician is responsible for keeping a record of his/her clock hours. At the end of each semester, the clinician completes two copies of the SC-10 Clock Hour Form. Both copies are submitted to the supervisor to be signed (ASHA number included) and submitted to the CD clinic coordinator. One copy is placed in the clinician's student file in the office, while the other copy is returned to the clinician for his/her personal records.

Cumulative Clock Hours. In addition to the clock hours forms completed for each clinic (as described above), clinicians must also maintain a Cumulative Clock Hour form (SC-12, downloadable as a pdf or doc) lists the number of hours required in each area for ASHA certification, CA licensure, and the CRS credential, so that the clinician can easily see where additionally hours are needed. Similarly, the breakdown by age group helps the clinician determine with what population he/she may need to work in order to round out their clinical experience. Two copies of the form are made and submitted to the supervisor to be initialed. One copy is kept in the clinician's student file, to be updated each semester (i.e., use the same Cumulative Clock Hours form each semester), while the other copy is retained by the clinician for his/her personal records. Each student is responsible for transferring clinical hours from SC12 to the ASHA Clinical Practicum form in their file.

» To learn more, read the Guide to Clinical Clock Hours


Forms, Forms, and More Forms

There are many forms students might use during their on-campus clinical practica. For your convenience, they are compiled here.

Forms A (Accidental)
A-01 Incident Report (pdf or doc) (For use by graduate student clinicians to document incidents occurring during clinic)

Forms F (Forms for Client Files)
F-21 Daily Therapy Log (pdf or doc) (a.k.a. SOAP Notes)
F-22 Speech-Language-Hearing Evaluation Report (pdf or doc)
F-24A Speech-Language Therapy Report (pdf or doc)
F-25 Client Recommendations (pdf or doc)
F-27 Statement of Understanding (pdf or doc)
F-27S Statement of Understanding - Spanish (pdf or doc)
F-28 Release for Exchange of Information (pdf or doc)
F-39 Adult Client History Form (pdf or doc)
F-40 Child Client History Form (pdf or doc)

Forms SC (Student Clinicians)
Correspondance Notes (pdf or doc)
KASA Form for the Evaluation of Student Performance (pdf or doc)
Professionalism Guide
SC-01 Speech and Hearing Screening Checklist (pdf or doc)
SC-03a Intended Therapy Plan - Assessment (ITP-A) (pdf or doc)
SC-03 Intended Therapy Plan (ITP) (pdf or doc)
SC-06 Propose Semester Objectives (PSO) (pdf or doc)
SC-10 Clinical Clock Hours (pdf or doc)
SC-10.5 Observation Clock Hours (pdf or doc)
SC-12 Speech Language Pathology Worksheet
SC-18 Client Interview Form (pdf or doc)
Client Privacy and Confidentiality Policy (pdf)

Forms HC (Hearing Conservation)
HC-01 Client History
HC-02 Audiogram
HC-03 Employee Notification Report of Hearing

Forms HS (Hearing Screening)
HS-01 Hearing Screening Form

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