SLP Document Release Request
Name
*
First Name
Last Name
Name at time of Graduation (if different from above)
First Name
Last Name
Year of Graduation
*
Email
*
example@example.com
Student Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
My Products
*
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SLP Summary of Clinical Practice Hours form (Bodies outside Ontario)
$16.32 CAD
$
16.32
CAD
Agency Summary of Clinical Practice Hours form (Bodies outside Ontario)
$16.32 CAD
$
16.32
CAD
Multi-Page Evidence and Summary Hours Form
$31.62 CAD
$
31.62
CAD
Credit Card
First Name
Last Name
Credit Card Number
Security Code
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
Expiration Year
Send the SLP Summary of Clinical Practice Hours Form to:
*
Include the organization name and email address
Send the Agency Summary of Clinical Practice Hours form to:
*
Include the organization name and email address. Students will submit the pre-filled form as required by the agency under separate cover to slp.clinicalaffairs@utoronto.ca for verification and signature. Students will include a report of any variance from the form required by the UofT SLP program.
Email to send to (if different from above)
*
Multi-Page Evidence and Summary Hours Form
*
Include the organization name and submission requirements (mail, email etc). Students will submit the pre-filled package of documents as required by the agency under separate cover to slp.clinicalaffairs@utoronto.ca for verification and signatures. Students will include a report along with the hours documentation of any variance from the form required by the UofT SLP program.
Submit
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