Evaluation guide

Occupational Therapy Evaluation

An assessment of how motor, sensory, regulation, and daily-living skills affect participation at home, school, and in the community.

Common agesInfancy through young adulthood
Typical formatOften 1–3 hours
Private-pay range (how we know)$400–$1,500+ (illustrative)

Understanding this evaluation

A pediatric occupational therapy evaluation focuses on functional participation. The therapist selects observations and measures based on everyday activities the child needs or wants to do.

What it may look at

Fine-motor skillsVisual-motor integrationSelf-careSensory processingRegulationSchool and play participation

What the process often includes

  1. 1

    Occupational profile

    Families identify routines, activities, strengths, barriers, and meaningful goals.

  2. 2

    Functional observation

    The therapist observes movement, tool use, regulation, and participation in selected tasks.

  3. 3

    Targeted measures

    Standardized or structured measures may examine motor, sensory, and adaptive skills.

  4. 4

    Participation plan

    Recommendations focus on environment, skills, supports, and whether therapy may help.

Questions families ask

Does sensory sensitivity require occupational therapy?+

Not always. The key question is whether sensory differences interfere with meaningful daily participation and whether an occupational therapy approach fits the child's goals.

Can schools provide occupational therapy?+

School-based occupational therapy may be provided when needed for a student to access education. Medical or private OT uses a different eligibility and service framework.

What should families bring?+

Bring prior reports, school concerns, examples of difficult routines, and any tools or accommodations the child already uses.