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Click ‘Get Form’ to open the PHYSICAL SPEECH OCCUPATIONAL THERAPY PLAN in the editor.
Begin by entering the date at the top of the form, followed by the child's name, DSCC case number, and address details including city, county, and zip code.
Fill in the parents' or guardian's name and phone number to ensure proper communication.
Indicate the therapy recommendations by selecting from options such as Occupational Therapy (OT), Physical Therapy (PT), or Speech Therapy (ST). Specify sessions per week, minutes per session, and duration in months.
Describe the condition that requires therapy and how it impairs the child’s daily activities. This section is crucial for understanding therapy needs.
Outline overall treatment goals related to identified impairments and set specific treatment objectives limited to a six-month period using measurable terms.
Finally, confirm if these gains are expected to exceed natural maturation. Complete with the date of assessment and therapist's name and address before obtaining a physician’s signature.

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