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1 Occupational Therapy Screen Request Student: Date: DOB:

How to fill out occupational formrapy screen request

How to fill out the occupational therapy screening request form:

1. Begin by familiarizing yourself with the occupational therapy screening request form. Take some time to read through the form and understand the information being asked.
2. Gather all the necessary information. This may include personal details such as name, address, contact information, as well as relevant medical history and any previous therapy records.
3. Fill out the sections of the form accurately and completely. Pay attention to any specific instructions or guidelines provided on the form. Provide all the required information and answer the questions to the best of your knowledge.
4. Make sure to include any additional documentation that is requested. This may include medical reports, referrals, or any other relevant documents.
5. Double-check all the information you have entered on the form to ensure it is correct and legible. Any mistakes or missing information may cause delays or complications in processing your request.

Who needs the occupational therapy screening request?

1. Individuals who have been referred by a healthcare professional for an occupational therapy assessment or screening.
2. Those who have experienced a recent injury, illness, or medical condition that may require occupational therapy intervention.
3. Individuals who are experiencing difficulties in performing daily activities such as self-care, work, or leisure activities due to physical, cognitive, or emotional impairments.
4. People with chronic conditions or disabilities that may benefit from occupational therapy services.
5. Children or adults with developmental delays or learning disabilities that may require evaluation and intervention from an occupational therapist.

In summary, filling out the occupational therapy screening request form requires attention to detail and providing accurate and complete information. This form is typically needed by individuals who have been referred for occupational therapy assessment or those experiencing difficulties in daily activities due to physical, cognitive, or emotional impairments.

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