Occupational Therapy Referral Checklist Form – Fill Out and Use This PDF

Occupational Therapy Referral Checklist Form PDF Details

In today's healthcare landscape, ensuring that the right support is available for those needing occupational therapy is crucial. The Occupational Therapy Referral Checklist form plays an essential role in streamlining this process, assisting occupational therapists and other professionals in determining a patient's need for occupational therapy services. Designed with the input of therapists to include language that is accessible and focused on the core aspects of traditional occupational therapy, this form is a foundational tool intended not to replace detailed assessments but to guide the initial stages of intervention. Organized around the significant themes from the Model of Human Occupation—volition, habituation, performance, and environment—it allows therapists to make a well-informed judgment on a client's need for therapy. Key areas such as confidence, self-care, productivity, leisure, interpersonal skills, cognitive and physical abilities, and environmental factors are evaluated, providing a clear picture of a client’s functioning across a broad spectrum. Completing the checklist involves a discussion with someone already working with the client, ensuring a comprehensive view of the client's needs and circumstances. By offering a structured way to screen and prioritize referrals, this checklist ensures the most efficient use of limited occupational therapy resources, focusing on areas where intervention can have the most significant impact.