Allied Health Admissions Forms
About Observation Forms
Applicants applying to the following programs must provide proof of observation in professional settings. The following printable forms are for verification of observation hours completed.
Students are responsible for lining up their own observations/experiences. Please print the correct form for your program you are applying for and take it with you to each of your observation sites. If you are interested in observing at LLUMC, please fax or email form below to the observation coordinator to schedule time.
You may submit your application to LLU before your observation hours are completed. However, completion and verification of hours are required before your application is complete and an admissions decision can be made.
Please note: The following programs do fill quickly due to their popularity and applications should be submitted early on in the program enrollment period to be considered.
Applicants are also encouraged to gain experience by exceeding the minimum observation hours required or recommended.
Cardiac Electrophysiology observation form (PDF) 8 hours in an EP lab.
Physical Therapy observation form for DPT and PTA Programs (PDF) Minimum of 80 hours. At least 20 hours must occur at an inpatient facility, such as a hospital or skilled nursing facility
Occupational Therapy observation form, (PDF) 40 hours minimum -This form is to be completed by the supervising Therapist and sent to the University by the student.
Radiation Therapy Certificate observation form (PDF) 40 hours minimum of specified procedures
MRI observation form (PDF) 12 hours minimum
CT observation form (PDF) 12 hours minimum
For the combined special imaging certification in both CT and MRI- 12 hours of observation is each modality is required.
Medical Radiography observation form (PDF) 12 hours minimum of specified procedures
Nuclear Medicine observation form (PD) Recommended 12 hours of specified procedures
Sonography observation form (PDF) 8 hours minimum of specified procedures. All prospective applicants for the Sonography program are highly encouraged to observe at LLUMC. The LLUMC observation is a unique experience that gives the prospective applicant a chance to meet and interact with LLU sonography alumni and students, professional practicing technologists, meet with the program director/advisors, ask questions, observe sonography procedures in a clinical setting and visit our campus. Observation should be completed by the end of April and completed before the formal interview.
To Observe at LLUMC
Loma Linda University Medical Center observation request form- For prospective students who are requesting observation time at the University Medical Center please follow directions and complete the LLUMC form. Please note: Prospective students may not be able to complete all required observation hours at LLUMC and may need to schedule additional observation hours with other facilities.