ABSSD - Verification of Hours

Verification of Hours: Application for Specialty Certification in Swallowing Disorders
What is Specialty Certification? Speech–language pathologists (SLPs) who have advanced knowledge, skills and experience are recognized by the designation of BCS-S or Board-Certified Specialist in Swallowing and Swallowing Disorders. This certificate is akin to Board Certification that qualified physicians hold. The American Speech-Language-Hearing Association, that grants basic certification to all SLPs as an entry level requirement for practice, began this program of Specialty Recognition in 1995. While BCS-S is voluntary, it is becoming the standard for identifying an SLP who is an expert in dysphagia, or swallowing disorders.
To whom it may concern:

You have been asked by the applicant to verify that they have completed a minimum number of hours within a year (12 months) for each of the 3 years prior to applying for their BCS-S:
- 350 clinical hours per year (for Clinical Track) of evaluation and treatment of swallowing disorders, or
- 100 clinical hours per year (for Administrative/Academic Track) of evaluation and/or treatment of swallowing disorders and/or research on human subjects with normal or abnormal swallowing. In addition, applicants in the Administrative/Academic Track must have 450 clinical hours overall in the past 4 years before applying.
Applicants' Name:*

First NameLast Name
Your Name:*

First NameLast Name
Your Title:*
Facility Name:*
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number:*

Area CodePhone Number
Email Address:*
example@example.com
I have worked with the applicant for the following # of years:*
Briefly describe the nature of your professional relationship:*
Please choose one:*

I attest that the applicant has 350 clinical hours per year (for Clinical Track) of evaluation and treatment of swallowing disorders.I attest that the applicanthas 100 clinical hours per year (for Administrative/Academic Track) ofevaluation and/or treatment of swallowing disorders and/or research on humansubjects with normal or abnormal swallowing. The applicant had 450 clinical hours overall in the past 4 years before applying.I cannot attest that the applicant has sufficient annual clinical and/or administrative hours.
Please indicate the location the clinical hours were obtained including Institution name, Department, and Address:*
Signature*

Clear
Full Name:*
Date Signed:*
If you have any questions, please contact the AB-SSD Office by emailing info@swallowingdisorders.org.
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Verification of Hours: Application for Specialty Certification in Swallowing Disorders