Documentation

AOTA's occupational profile template

Improve your evaluations, intervention plans, and documentation.

The foundation for client-centered care

The Occupational Therapy Practice Framework: Domain and Process, 4th edition (OTPF-4) (American Occupational Therapy Association [AOTA], 2020) states that every occupational therapy (OT) evaluation includes the occupational profile and the analysis of occupational performance.

Consistently conducting and documenting the occupational profile demonstrates

"Only clients can identify the occupations that give meaning to their lives and select the goals and priorities that are important to them." - OTPF-4.
  • a commitment to quality OT services,
  • the distinct value of OT to other providers and payers, and
  • respect for clients as collaborators in their own care.

In addition, the 2017 occupational therapy evaluation and re-evaluation CPT® codes require the inclusion of an occupational profile.

 

AOTA's Occupational Profile Template

A template designed for you to use in any practice setting—print it and complete it by hand, type text directly into the document, or include it in an electronic health record (EHR).

Reference

American Occupational Therapy Association. (2020). Occupational therapy practice framework: Domain and process (4th ed.). American Journal of Occupational Therapy, 74(Suppl. 2), 7412410010. https://doi.org/10.5014/ajot.2020.74S2001.

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