STUDENT’S EVALUATION LOG – TO BE COMPLETED BY STUDENT
Affiliation #/
Date
Diagnosis
Age
Examination Procedures Practiced
Patient Log
Student Clinical Experiences
The purpose of this log is to allow the student an opportunity to keep a record of the
patients they have treated along with their diagnoses and the types of examination
procedures practiced. A student can monitor the variety within their learning experience
as well as making note of possible needs for future experiences. It is intended to provide
you with information. It is a tool and nothing more.