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OCCUPATIONAL THERAPY PATIENT REFERRAL & PRESCRIPTION FORM 747 52nd St., Oakland, CA 94609 5104283000 www.childrenshospitaloakland.orgPATIENT INFORMATIONDATE Patients First Name Last Name DOB /.

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Who Might Need Occupational Therapy? birth injuries or birth defects. sensory processing disorders. traumatic injuries to the brain or spinal cord. learning problems. autism. juvenile rheumatoid arthritis. mental health or behavioral problems. broken bones or other orthopedic injuries.

OT treatment services require a written prescription by a physician, dentist or podiatrist, within the practitioner's scope of practice (22 CCR, § 51309 (a)).

Occupational therapists evaluate and treat people who have injuries, illnesses, or disabilities. They help clients meet goals to develop, recover, improve, and maintain skills needed for daily living and working.

Occupational therapy can help when someone is having difficulty with everyday tasks (the tasks that 'occupy' them). An occupational therapist (also known as an 'OT') can identify your strengths and any difficulties — such as dressing or getting to the shops. They can then help you work out practical solutions.

Occupational therapy (OT) is an allied health profession that involves the therapeutic use of everyday activities, or occupations, to treat the physical, mental, developmental, and emotional ailments that impact a patient's ability to perform daily tasks.

Occupational therapy can help when someone is having difficulty with everyday tasks (the tasks that 'occupy' them). An occupational therapist (also known as an 'OT') can identify your strengths and any difficulties — such as dressing or getting to the shops. They can then help you work out practical solutions.

Occupational therapists work with adults who are affected by injuries, illness, surgeries, age-related diseases, disabilities, or psychological disorders.

Referral: Patients are referred to occupational therapy by a variety of sources, including family members, caregivers, physicians, health care centers, employers, etc. Occupational therapists cannot work with any patient because the patient may have a therapeutic need; patients must be referred.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232