Clinical Site Profiles – Submit your site’s information

Clinical Site Profiles submission form

Please fill out this online form with details of your site. It will be used to create your site's profile on the Clinical Education section of the UBC PT website. These profiles will be a great help to our students as they search/plan for their placements.

Please note that there is an option to "Save and continue later" on this form. The link is located at the bottom of the form, beside the "Submit" button. If, for any reason, you need/want to save your form and return to finish filling it out at a later time, click on that link. You will be given a link which you can use to directly access your form at a later date (note: link expires after 30 days).

You should also note that this form does not automatically save, so if you are putting in larger blocks of text (e.g., the Welcome Message) we advise that you first type that text in a Word document, then copy and paste into the field. That way it ensures no text is loss in the case of a glitch!
  • Site Details

  • For example: "Northwest Physiotherapy Clinic" or "Surrey Memorial Hospital."
    Using these parameters, please indicate where your site is located.
    For our Clin Ed purposes the LOWER MAINLAND is:
    Burnaby
    Coquitlam
    Delta
    New Westminster
    North Vancouver
    Pitt Meadows
    Port Coquitlam
    Port Moody
    Richmond
    Surrey
    Tsawwassen
    Vancouver
    West Vancouver
    White Rock
  • *An example of a Community Agency is Home Care, Not-for-Profit Society, etc.).
  • If you have indicated "Other" above please elaborate here.
  • Please choose any categories that apply to your site. We realize these options may not be available each time a Call for Offers is accepted; this is just to give our students a better idea of the breadth of practice of a site.

    If your site is a Private Practice, for our Clin Ed purposes, please choose "OP" only as your category.

    To choose multiple categories, hold down CTRL for a PC, or Command for a Mac.

    Sample areas per category:

    ACUTE • ICU • Cardiorespiratory • Acute Care for the Elderly • Acute Paeds • Medicine • Surgical • Inpatient Ortho • Inpatient Neuro

    OUTPATIENT • Public or private • Includes OR 1 and OR2 programs, hands, or other programs situated in private/outpatient clinics • Outpatient Arthritis

    CHRONIC DISEASE MANAGEMENT • Chronic Pain Programs • Pulmonary or Cardiac Rehab programs • Women’s Health

    REHABILITATION (Neuromusculoskeletal) • Inpatient or Outpatient Neuro Rehab • Spinal Rehab • Any IP or OP Rehab program • Child Development Centres

    COMMUNITY HEALTH • Geriatric • Home Care • Community Care or Home/Community Care • Residential or Residential Geriatric • Home Health • Mental Health • CINHS • Schools programs • Rural public practice • First Nations
  • This information is simply to place the site (whether public or private practice) in an area of the province dictated by the Ministry of Health regions. If you do not know what region your site is located in please refer to this map.
    “Northern” refers to:
    • Any city or town within the Northern Health Authority Region.

    "Rural" refers to
    • Vancouver Coastal Health: Communities north of Whistler as well as the Central Coast (e.g., Bella Coola), Sechelt and Powell River.
    • Fraser Health: Hope.
    • Northern Health: All locations except Prince George (however Prince George is considered “Northern,” as above)
    • Vancouver Island Health Authority: All locations north of Campbell River, as well as Port Alberni.
    • Interior Health: All locations except Vernon, Kelowna, Penticton, and Kamloops.
    • The Yukon is also considered Rural.
  • If you have indicated "Yes" above, please elaborate here.
  • Site Information

  • Please note: Site Profiles will indicate that information is subject to change. Should any information change, please send an email with the details to: Carolyn Andersson
  • Please provide basic information about any special interests, degrees, certificates, etc., that physiotherapists at the site may have.
  • Please provide information about types of learning opportunities that may be available at this site.
  • Please provide information about possible interprofessional opportunities at this site, such working with other health professionals or health profession students.
  • In addition to providing information about the site itself, we like to highlight each site with a picture of the site (and the city/town) and provide basic information on the city/town's population, location, and links to the local tourism site.

    We also ask each site to include a "Welcome Message." This message should highlight the personality of the site, offer more information about networking and potential employment opportunities, or anything else you would like the students to know about the site!

    You are also encouraged to use this message to talk a bit about the community and give the student a better idea of life in your city/town. The more the students know, the more comfortable they will feel about going on placement in a community they are not familiar with!
  • We like to include a picture of each site in the search results. If one doesn't exist please take one for us! Landscape orientation preferred. The picture can be of the outside of the building (in the example of a clinic) or of a treatment area, gym, etc. Your choice!

    (Note: We have pictures of each city/town - we just need a site picture from you!)
  • Please provide the name of the person who has filled out this information on behalf of the site.
  • Please provide your email (in case we have any questions!).
  • If you have any comments, please feel free to add them here.
  • This field is for validation purposes and should be left unchanged.