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FORM #5 (OT) OKLAHOMA STATE BOARD OF MEDICAL

FORM #5 (OT) OKLAHOMA STATE BOARD OF MEDICAL 2026

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The document is a verification form (Form #5) used by the Oklahoma State Board of Medical Licensure and Supervision for Occupational Therapists. It outlines the requirements for supervision of Occupational Therapy Assistants or applicants, detailing the roles of primary and alternate supervisors, types of supervision (direct and general), and responsibilities of both supervisors and supervisees. The form must be completed to confirm the supervisory relationship and ensure compliance with state regulations regarding occupational therapy practice.

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How to use or fill out FORM #5 (OT) OKLAHOMA STATE BOARD OF MEDICAL

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name in the 'NAME OF APPLICANT' field. Ensure that you print or type clearly for legibility.
Fill in your License/Application Number accurately to avoid any processing delays.
Provide your complete mailing address, including city, state, and ZIP code, in the designated fields.
Next, enter the 'NAME OF SUPERVISOR' and their License Number. This is crucial for verification purposes.
Indicate the 'NAME OF PRACTICE SETTING' and its address, ensuring all details are correct.
Specify the practice telephone number in the provided format for easy contact.
Date when supervision begins should be filled out accurately to reflect your start date.
Both you and your supervisor must sign where indicated to validate the form before submission.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the CME requirements for Oklahoma medical license?

Oklahoma requires 60 hours of CME for physicians every 3 years, with 3 hours in the area of controlled substances for authorized prescribers. Complete Oklahomas continuing medical education requirements for license renewal in one place.

How many OTAS can an OT supervise in Oklahoma?

(a) An occupational therapist will not sign the Form #5, Verification of Supervision, to be the direct clinical supervisor for more than a total of four occupational therapy assistants or applicants for licensure regardless of the type of professional licensure or level of training.

What can occupational therapists not do?

Occupational therapists arent medical doctors (MD) or doctors of osteopathy (DO). They cant diagnose health conditions, prescribe medication or perform surgeries.

Can an OT supervise a cota?

An occupational therapy aide may be supervised by either an occupational therapist or occupational therapy assistant.

Can occupational therapists do manipulations?

Often associated with physical therapy and chiropractic care, manual therapies include a range of procedures, from massage to joint manipulation. Manual therapy is also practiced by orthopedic doctors, athletic trainers, occupational therapists, and osteopaths.

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How to file a complaint with the Oklahoma medical Board?

PLEASE NOTE: For complaints/questions in medical scope operations regarding medical doctors, contact the State Board of Medical Licensure and Supervision (405) 962-1400 or (800) 381-4519, for osteopathic doctors, contact the State Board of Osteopathic Examiners at (405) 528-8625, or for nurses, contact the Oklahoma

FORM #5 (OT) OKLAHOMA STATE BOARD OF MEDICAL 2026

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