Caregiver referral form for Occupational Therapy

Occupational Therapy (OT) helps children develop the skills they need to participate in everyday activities with confidence and independence. If you have concerns about your child’s ability to manage tasks like self-care, play, or school activities, this form enables you to share those observations. The information you provide will assist our team in determining how we can best support your child’s functional skills, sensory processing, and motor development, allowing them to thrive in daily routines.