Program or Service Observation Form

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ProgramorService ObservaƟon FormLTC/310 Version 11ProgramorService ObservaƟon FormRecord your observations of the program or serviceyour instructorapproved for you.Submit thisform with your final Learning Team assignment.Part I–Basic InformaƟon1.What is the name ofthe program or service?The name isCranioSacral Therapy (or ManipulaƟon).2.Provide a descripƟon of the program or service.A therapeuƟc structural treatment for relaxing the musculature of clients with muscleƟghtnessand spasms thatare derived from osteopathic techniques. It is a gentle healing art that workswith a subtle and palpable rhythm emanaƟng from the paƟent’s brain and spinal cord.Part II–Program or Service QualificaƟons3.Is the program or service licensed?Is it accredited? What requirementsmust itmeet toobtainthese?

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