 |

MASTER OF PHYSICIAN ASSISTANT STUDIES
Health Care Experience Verification Form
Have time to know your patients, not just their diagnosis
The following form requires Acrobat Reader. Get Acrobat Reader free to view and print PDF files. You may also contact us to receive the form by mail.

Health Care Experience Verification Form
Applicants to the Kettering College physician assistant program must provide documentation of health care experience, either paid or voluntary, that reflects direct patient care with decisionmaking
process necessary to become a successful PA student and graduate professional. It is highly suggested that applicants have 1,000 hours of experience, which could be obtained in but not limited to the following roles: nurse, nurse’s aide, emergency
medical technician or paramedic, laboratory technician/phlebotomist, medical office assistant with patient care responsibilities, military medical specialist, respiratory care
practitioner, radiological technologist, or mission worker.
updated 3/25/09
|
|