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Ambulatory Care Center RuskRehabilitation Occupational TherapyOutpatient Occupational Therapy General Referralth240 East 38th Street 17 Floor New York, NY 10016 www.nyulmc.org/ruskGENERALOCCUPATIONALTHERAPY
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How to fill out ot referral

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Start by gathering all the necessary information about the individual for whom you are filling out the OT referral.
02
Include the individual's personal details, such as name, date of birth, and contact information.
03
Specify the reason for the OT referral, including any specific concerns or issues that the individual is facing.
04
Provide relevant medical history, such as previous diagnoses or treatments related to the individual's condition.
05
Include any assessments or evaluations that have been conducted, along with their results and recommendations.
06
State the goals or desired outcomes of the OT referral, outlining what the individual hopes to achieve through occupational therapy.
07
Provide any additional information or documentation that may support the referral, such as reports from other healthcare professionals or relevant educational records.
08
Make sure to sign and date the referral form before submitting it to the appropriate healthcare provider or organization.

Who needs ot referral?

01
Anyone who is experiencing difficulties in their daily activities or functioning due to physical, cognitive, developmental, or emotional challenges may need an OT referral.
02
This could include individuals with conditions such as autism spectrum disorder, cerebral palsy, traumatic brain injury, stroke, or mental health disorders.
03
OT referrals are typically made by healthcare professionals, educators, or caregivers who identify a need for occupational therapy intervention to improve the individual's independence and overall well-being.
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OT referral is a request made by a healthcare professional to refer a patient to an occupational therapist for evaluation and treatment.
Healthcare professionals such as doctors, nurses, or case managers are required to file OT referral.
To fill out an OT referral, the healthcare professional must provide patient information, reason for referral, and any relevant medical history.
The purpose of OT referral is to assess and treat patients with physical, mental, or cognitive challenges to improve their ability to perform everyday tasks.
Information such as patient demographics, medical history, reason for referral, and any specific goals for therapy must be reported on an OT referral.
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