NOTICE: Due to COVID-19 Precautions and the need to minimize the number of individuals entering our building at one time, we may be unable to accommodate student observation, volunteer, or internship requests at this time. There may be limited opportunities available to observe in person session, Telehealth therapy, or to observe in-person therapy through Zoom if permitted by our patient families. We hope to resume in-person student opportunities at a time when the situation safely allows. Feel free to check back with us. This message will be updated accordingly.
We Love Our Students, Volunteers, and Observers!
We consider it an honor to give back to our professions and contribute to the future of pediatric therapy intervention! We wish we could accommodate every request that we receive, and we do find placements for as many as we can.
Please read this information carefully and indicate your acknowledgement and agreement to these policies by submission of the form below. Once received, your application will be shared with our therapists. If there is an opening, you will be contacted directly by the therapist with potential availability. Please note that this application is a requirement and it must be submitted a minimum of one month prior to your requested observation, volunteer work, or clinical placement. Partially completed applications will not be accepted for consideration.
Requirements:
Recognizing the importance of preserving the integrity of the therapist/patient relationship, and in acknowledgement of the Health Insurance Portability and Accountability Act (Public Law 104-191), all students completing the form below must promise to honor the confidentiality of each client whose care and treatment they are permitted to observe and/or contribute to with the therapist as part of their participation in the opportunity. All students and/or Volunteer/Observers must agree to not reveal to any person the names or any other identifying information of the individual clients whose care and treatment was observed and/or contributed to as a result of participation in the program. Students and/or Volunteer/Observers will not discuss with any other person any details of the internship or observation experience that might cause the client’s identity to be revealed.
Completion of the form below will additonally serve as consent for Bautz Developmental Intervention, Inc. (DBA BDI Playhouse Children’s Therapy) and to its employees, agents and assigns the right to photograph the student or Volunteer/Observer and to utilize the photo/video and/or other digital reproduction of themselves for publication processes, whether electronic, print, digital or electronic publishing via the internet for the purpose of marketing/advertising/promotion of services/purpose of instruction/documentation of patient condition, etc.
By completion and submission of the form below, the Student and/or Volunteer/Observer acknowledges that their presence on the premises of Bautz Developmental Intervention, Inc. (BDI Playhouse) and/or their presence at any other setting where BDI services are provided may, even under ideal conditions, including the proper use of materials and adherence to safety procedures, pose a risk of personal injury. Participants may be removed from the opportunity on a temporary or permanent basis if the individual refuses or is unable to follow safety rules, wear or utilize assigned personal protective equipment, or perform activities as directed.
Prior to participation, the participant must notify the assigned supervising BDI faculty member of any allergies or other physical, mental, or emotional condition that might limit their ability to safely participate in activities at the facility to which they are assigned.
The participant must fully recognize that their presence is voluntary, and that they have made the decision to participate despite the possible dangers and risks, specific and unforeseen.
The participant’s completion and submission of the form below indicates an understanding that neither Bautz Developmental Intervention, Inc., it’s employees, nor the student and/or Volunteer/Observer, shall earn or receive any compensation in connection with assigned.
The participant completing and submitting the form below therefore agrees to indemnify, release, defend, and hold harmless the officers and employees of Bautz Developmental Intervention, Inc., its administration, faculty, staff and agents from any and all liability, claims and actions that may arise from injury or harm to the participant, from the participant’s death, or damage to the participant’s property while participating in this opportunity with Bautz Developmental Intervention, Inc. It is further understood by the individual competing this form, that this release covers liability, claims and actions caused entirely or in part by any acts or failures to act by Bautz Developmental Intervention, Inc., its governing officers, employees, agents and students, including but not limited to negligence, mistake or, failure to supervise by Bautz Developmental Intervention, Inc., its governing officers, employees, agents and students. The participant also understands that this release means they are giving up, including but not limited to, all rights to take any legal action against Bautz Developmental Intervention, Inc., its governing officers, employees, agents and students for injuries, damages or losses the participant may incur. Signature below also releases and binds the participant’s heirs, executors, administrators, and assigns.
Your electronically entered signature shall serve to indicate that you are in full agreement and bound to the terms described.
By completion and submission of this form, you fully agree and legally consent to all terms and statements on this page.
Submission of this form with your electronically entered signature will serve to indicate that you are in full agreement and bound to the terms described.
By completion and submission of this form, you fully agree and legally consent to all terms and statements on this page.
11411 W 183rd St.
Suite B
Orland Park, IL 60467
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600 N Commons Dr
Suite 102
Aurora, IL 60504
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Give us a call, email or message us if you have any questions!
(708) 478-1820 • info@bdiplayhouse.com
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