
PATIENT INFORMATION
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Does my child neet OT?
Preparation for your appointment
How do I know if my infant/toddler needs occupational therapy services?
__ 1. Easily startled (birth to 3 months)
__ 2. Poor muscle tone
__ 3. Difficulty consoling self, unusually fussy
__ 4. Unable to bring hands together and bang toys
__ 5. Slow to roll over, creep, sit or stand
__ 6. Difficulty babbling
__ 7. Failure to explore
__ 8. Cries or becomes tense when moved through space.
__ 9. Frequent fisting of hands after six months
__ 10. Difficulty tolerating a prone (on stomach) position
__ 11. Dislikes baths
__ 12. Difficulty playing with age appropriate toys.
__ 13. Resists being held, dislikes being cuddled, becomes tense when held
__ 14. Sucking difficulties
__ 15. Overly active, seeks excessive movement
__ 16. Unable to settle down, sleep difficulties
How do I know if my preschool child (3 to 5 years) needs occupational therapy services?
__ 1. Says “I can’t” or “I won’t” to age appropriate self-care or play activities.
__ 2. Low muscle tone; seems weak or floppy.
__ 3. Clumsy, falls frequently.
__ 4. Bumps into furniture or people, has trouble judging body in relation to space around him/her.
__ 5. Breaks toys or crayons easily.
__ 6. Does not enjoy jumping, swinging or having feet off the ground.
__ 7. Dislikes coloring in lines, doing puzzles or cutting with scissors.
__ 8. Delayed language development.
__ 9. Overly active, unable to slow down, moves quickly from one toy to another.
__ 10. Difficulty focusing attention, or over-focused and unable to shift to the next task.
__ 11. Dislikes bathing, cuddling, or haircuts.
__ 12. Overreacts to touch, taste, sounds, or odors.
__ 13. Avoids playground activities.
__ 14. Unable to settle down, sleep difficulties.
__ 15. Needs more practice than other children to learn new skills.
How do I know if my school-age child needs occupational therapy services?
__ 1. Difficulty focusing attention or over-focused and unable to shift to the next task.
__ 2. Low muscle tone; tends to lean on arms or slumps at desk.
__ 3. Needs more practice than other children to learn new skills.
__ 4. Reverses letters such as b and d; can’t space letters on the lines.
__ 5. Breaks pencils frequently or writes with heavy pressure.
__ 6. Does not enjoy jumping, swings or having feet off the ground.
__ 7. Dislikes handwriting, tires quickly during written class work.
__ 8. Difficulty paying attention or following instructions.
__ 9. Overly active, unable to slow down.
__ 10. Poor self-esteem, lack of confidence.
__ 11. Dislikes swimming, bathing, hugs, and/or hair cuts
__ 12. Over-reacts to touch, taste, sounds, or odors
__ 13. Avoids physical education or sports activities.
__ 14. Finds it difficult to make friends with children of the same age, prefers to play with adults or younger children rather than peers.
__ 15. Difficulty following several step instructions for motor tasks.
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