Get Pediatric Occupational Therapy Evaluation Template

This guide provides step-by-step instructions for filling out the Pediatric Occupational Therapy Evaluation Template online. By following these instructions, you will ensure that all necessary information is accurately documented for your child's occupational therapy evaluation.

Follow the steps to effectively complete the evaluation template.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the date in the specified field to indicate when the evaluation is being completed.
3. Provide the child's full name in the designated area, ensuring correct spelling for identification purposes.
4. Enter the names of the parents or guardians in the corresponding field, indicating who is responsible for the child’s care.
5. Complete the child's date of birth, taking care to match the format required in the form.
6. Fill in the address fields with accuracy to ensure that all contact information is current and correct.
7. Provide the phone numbers for the home, cell, and work as applicable, noting any contact preferences if required.
8. Document the caregivers' names and their contact numbers for emergency reference.
9. List sibling names and ages as requested, ensuring clarity and accuracy.
10. Fill in the emergency contact information, providing both the name and phone number.
11. Record the child's current school and the school’s phone number to provide relevant educational context.
12. Indicate any medical conditions that might require immediate attention, ensuring that necessary details are provided.
13. List medications your child takes regularly, detailing dosages and purposes where applicable.
14. Answer questions regarding the child’s visual needs, such as whether they wear glasses or corrective lenses.
15. Provide authorization for emergency medical treatment by completing the relevant section clearly.
16. Complete the parental signature area, including the date, to validate the form.
17. Proceed through additional sections titled 'Developmental History,' 'Medical History,' 'Educational History,' etc., answering each question thoroughly.
18. Review all fields for completeness and accuracy before saving your changes, downloading, printing, or sharing the completed form.

Complete the Pediatric Occupational Therapy Evaluation Template online to support your child's therapy journey.