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Purdue
Individual, Couple and Family
Therapy Clinic
(PICFTC)
STUDENT
FORMS
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| Clinic |
Forms
for work in PICFTC: The forms
below are designed to facilitate and
document students' clinical progress in
the program. The Policies and Procedures
Manual contains all information students
need to know to progress through
practicum and the program. They are
expected to be familiar with its entire
content. The manual is updated every
August. The Monthly Report Form helps
students to keep track of their clinical
and supervision hours during practicum.
The form has to be filled out, signed by
the practicum instructor, and submitted
to the Clinic office every month. In
order to have team hours counted
students have to fill out the
Non-Traditional Hour Approval Form, have
it singed by the practicum instructor,
and have to submit it to the Clinic
office.
Policies and Procedures Manual
STIC: Website Users Manual
STIC: Data Collection Manual
Monthly Report Form
Non-Traditional Hour Approval Form
Supervisor in Training Form
Transfer of Client Hours
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| Internship /
Externship |
Forms
for work on an Internship
or Externship site:
Before students begin
their Internship, it has
to be approved by the MFT
faculty. This is done by
completing the Internship
Proposal form and
submitting it to the MFT
faculty. The Internship
Report and Externship
Report form have to be
filled out and submitted
to the
Internship
Coordinator on a
monthly basis, in order
to receive credit for
client contact and
supervision hours. The
General Forms have to be
submitted once a semester
according to the
instructions in the CDFS
678/88 syllabi. For those
completing a
non-traditional
Internship, please
contact the Internship
Coordinator for the
appropriate forms.
Internship Proposal
Internship Report
Externship Report
General Forms
Internship Site List
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| Resources |
Resources
for clinical work: Below
are several resource
papers that provide
students with information
on how to document their
clinical work. The Case
Notes paper explains the
DAP format and gives
helpful hints on what
constitutes "Data" and
"Assessment".
The Suicide Assessment
paper summarizes crucial
areas to be explored and
assessed when working
with suicidal clients.
The Treatment Goals paper
gives an overview of
developing treatment
goals with concrete
examples. Finally, the
Guidelines are designed
to assist students
working with clients.
Case Notes
Suicide Assessment
Treatment Goals
Guidelines
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*All forms
are in PDF format.
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