Telehealth Occupational Therapy Guide

Here is your complete guide to occupational therapy and telehealth!

In light of the COVID-19 crisis, occupational therapy practitioners everywhere are thinking about telehealth, and many of you are actively working to launch new solutions.

Telehealth occupational therapy is going to change the way we practice, and it will impact our profession in ways we have yet to imagine. And, the more we know about telehealth, the better positioned we’ll be to leverage it in ways to best serve our clients.

I set out to write this article so that we occupational therapy professionals would have a comprehensive resource on telehealth OT as we know it today, along with some information to help us stay up-to-date with this quickly changing landscape.

I’ll update this article regularly as the uncharted world of teletherapy begins to take form.

Here’s what you’ll find below:


What is telehealth?

Telehealth refers to medical services provided over a technology platform. Pretty much any form of medical care delivered via technology vs. in-person means can be considered telehealth.

That means some of you might already be using telehealth without even knowing it.

If you use a secure texting platform to exchange messages with your patients, you’re already using telehealth.

If you deliver HEP exercises and updates to your patients, as with MedBridge Go, that’s telehealth, too.

If you review patients’ records in a shared health system portal, you’re using telehealth.

And, if you securely message your patients by using something like WebPT’s HEP platform, yep, that’s also telehealth.

Yes! Telehealth can be this simple! This is an example of secure messaging about an HEP program from WebPT's platform.

Technically, telehealth can be broken into four categories:

  • Live video
  • Store-and-forward
  • Remote patient monitoring
  • Mobile health

Live video (also called “synchronous”) is exactly what you’d think. Store-and-forward is also called “asynchronous,” and is used to transmit imaging, as well as store and send health records. Remote patient monitoring involves electronically transferring information like blood pressure results or blood glucose levels. MedBridge Go and other forms of patient-facing HEP software are forms of mobile health.

At this point, most forms of telehealth occupational therapy will use a blend of these methods to deliver care, so it’s honestly not that important to know the four types.


Why telehealth?

Telehealth was originally devised to bring much-needed healthcare services to underserved or rural populations, enabling patients to receive care when they might not otherwise be able to.

But, even for patients who can access care, telehealth has its appeal. In today’s modern age of on-demand technomania, telehealth is a wonderful option in terms of convenience and, frankly, staying on trend. If other professionals are meeting customers’ demands for on-demand care, why can’t occupational therapists?

Consider a post-CVA patient whose son would normally need to drive her to OT—but now that patient can ask questions and receive teletherapy in the comfort of her own home. That means her son doesn’t have to miss work! And, now that we have so many cities shutting down to stymie the spread of COVID-19, this seems an ideal way to deliver care without endangering our patients or their caregivers.

In any case, teletherapy is great for patient education, management of chronic illnesses, medication management, and more, and we occupational therapists are recognizing ways that we can provide our care remotely, as well.

Now, more than ever, with the novel coronavirus upending everything we know about society, it’s time for us to step up and get serious about incorporating telehealth into occupational therapy.


Who is currently using telehealth?

Physicians: reimbursed for remote care

Physicians have been incorporating telehealth into their practice for years, as Medicare does pay for certain types of remote care. COVID-19 has prompted sweeping changes for physician care via telehealth. I think the title of this NYTimes article says it best—Telemedicine Arrives in the U.K.: ‘10 Years of Change in One Week’.

Mental health practitioners: addressing unmet needs

Therapists and counselors are using telemedicine to deliver care to address the overwhelming need for increased mental health delivery in the U.S.

Surveys have indicated that 43.8 million Americans have a behavioral health crisis in a single year. The scary thing is 60% of those people don’t receive treatment.

One of the reasons telehealth is really taking off in the mental health world is that it addresses the fundamental reasons why people don’t seek treatment for mental illness: lack of access and lack of resources.

And, perhaps most importantly, telemedicine delivery is discreet and convenient. Anyone who has experienced a mental health crisis can attest to the fact that real-time, convenient treatment delivered in a private manner is priceless.

Speech-language pathologists: reaching kids in underserved areas

Preliminary research has shown that teletherapy does show promise in addressing the lack of care for children in geographically remote and underserved areas. Perhaps that is why so many teletherapy SLP providers serve a pediatric clientele.

Telehealth SLPs can remotely address articulation and phonology, expressive and receptive language, fluency, voice, and pragmatics.

Being a less hands-on discipline than OT and PT, relatively speaking, it’s no surprise that teletherapy has taken off in SLP a bit more quickly.

Physical therapists: telehealth in traditional practice

Physical therapists are definitely getting more excited about telehealth—especially since many out patient clinics are furloughing or laying off PTs during the coronavirus pandemic.

There are several companies popping up that hire physical therapists to treat remotely. At this time, it’s still pretty tough to land a full-time benefited telehealth physical therapy position, so many roles are part-time or PRN. However, many traditional brick-and-mortar PT clinics have started incorporating teletherapy into their practice.

There is also a growing movement of private, cash-based PT practitioners, many of whom are opting to use telehealth as part of a niche-based practice, if not transferring their services to exclusively telehealth in nature.


So where is OT with telehealth?

As I already mentioned, some of us use forms of telehealth already. But if you’re wondering who is working completely remotely as a telehealth occupational therapist, the answer is that more and more people are doing it every day.

The fact is that COVID-19 concerns do not negate the need for OT. In light of this legislation and reimbursement is changing daily, to open the doors for more and more of us.

We are doing our best to track these changes day by day in the OT Potential Club. But, below is a general orientation to where we are at.


The research base has already been rapidly growing.

Before diving into to telehealth, we of course, have a professional duty to understand whether research backs its use.

And the good news for OTs at this time is that telehealth is not some completely unknown, desperate second option for use to just “try out” in crisis. Telehealth OT has been being studied for years, and you will likely even find research that correlates closely to your practice.

As I’ve been reading this research myself, I have found it to be very promising. I hope you check it out for yourself: Research Articles about Telehealth OT.

Here are some of the areas you will find research in to guide your practice:

  • Home health (especially home modifications/aging in place)
  • Mental health
  • Outpatient neuro
  • Wellness and preventative care
  • Orthopedics
  • Hand therapy
  • School-based OT (in light of COVID-19)

The pros of telehealth

  • Improves access to those who wouldn’t otherwise get OT
  • Convenient
  • Easier on the OT’s body
  • Puts more emphasis on patient education and pain science
  • Delivers care on-demand to meet today’s consumers

The cons of telehealth

  • Lacking the human touch of OT
  • Can only treat in the state where you’re licensed (at this time)
  • There’s no multi-state license compact (like they have in PT)
  • Patient acquisition is hard enough with traditional clinics…it’s even more difficult with teletherapy
  • At this time, reimbursement for services is still spotty

What about the rules—and what about reimbursement?

Telehealth OT is a bit like the Wild West. There’s very little consistency between states in the way of laws. Some states have established laws and regulations regarding telehealth, while others haven’t even touched the subject. The AOTA provided a chart (accessible to members only) that details information about telehealth and OT on a state-by-state basis, but this has become largely outdated.

In the OT Potential Club, we are working to actively track changing legislation, state-by-state and country-by-country. So, for an in-depth discussion of legislation and reimbursement, please consider joining our forum

We also just launched a new blog post, where we are trying to provide updates on coverage of OT telelehealth on a state-by-state basis. If you have any updates from your state, please let us know!

One important development, though, that I want to highlight here is that CMS has approved e-visits for established Medicare patients.

If you do provide care to Medicare patients, please read the recent update from CMS on the provision of telemedicine. I’m copying the relevant sections about OT e-visits and the relaxation of HIPAA below:

Clinicians who may not independently bill for evaluation and management visits (for example – physical therapists, occupational therapists, speech language pathologists, clinical psychologists) can also provide these e-visits and bill the following codes:

  • G2061: Qualified non-physician healthcare professional online assessment and management, for an established patient, for up to seven days, cumulative time during the 7 days; 5–10 minutes
  • G2062: Qualified non-physician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11–20 minutes
  • G2063: Qualified non-physician qualified healthcare professional assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes.

Maintaining HIPAA

In light of COVID-19 HIPAA requirements have been relaxed. Here’s the complete statement.

Historically, here’s how HIPAA has applied to telehealth:  

HIPAA applies to all medical professionals or healthcare organizations that are providing telemedicine services. According to HIPAA Journal, it’s vital to consider the channel of communication used to transmit ePHI (electronic protected health information). Here are the stipulations, and you’ll notice that they sound pretty close to what we use for non-telemedicine!

  • Only authorized users shall be able to access ePHI
  • A secure system of communication shall be used to protect the integrity of ePHI
  • There must be a system of monitoring communications with ePHI to prevent malicious or accidental breaches.

Maintaining standards of care

Across the board, practitioners of telemedicine are expected to adhere to standards of care that are the same—no more, no less—as what they’d provide during face-to-face visits.

What is the pay like?

The pay depends on several factors. Obviously, if you’re a private practitioner, you’ll set your own fee schedule. However, if you join an existing organization as a staff or PRN telehealth occupational therapist, you’ll likely earn similar rates to what you’d make in a traditional brick-and-mortar clinic.

From what I can tell, ranges per hour will be anywhere from $35-45/hour, and in states with higher living expenses, the rates might be higher (how refreshing!).

One important thing to consider is that many of these roles are per diem, so you might not receive sick time, PTO, or health insurance.

What is the schedule like?

The beauty of telehealth OT is that you can set your own schedule. The other side of the coin is that you might not get all the hours you need, especially if you’re a new grad trying to pay off loans.  

It’s per diem care at its finest. But this can also be a blessing or a curse, depending on how many hours you need.

Can COTAs provide telehealth?

Telehealth legislation is in huge upheaval right now, so this answer may only be found on a state-by-state, provider-by-provider basis. But, in general, if OTs can provide telehealth (per local legislation) there is a good chance COTAs can, as well.

Several years ago, I did some research about companies that hired COTAs for teletherapy. I found that while some companies only hire OTs, a few do hire OTAs to perform teletherapy.

Here are some of the teletherapy companies that historically have hired OTAs:


How to get into telehealth

As of today, there are three ways you can get involved with teletherapy. Here’s how to do each.

1. Start your own practice

If you start your own practice, you’ll need to understand state laws where you’re planning to treat, get licensed in the state(s) where you’re planning to treat, set up a business, attract your own patients, get liability insurance, set up a fee schedule, and all that fun stuff that goes along with owning your own clinic.

Plus, there’s the tech. You’ll need to figure out the software you’ll want to use, but most solutions make it fairly easy to hang a shingle. (In the next section we will cover available platforms.)

2. Join an existing company

If you’re not feeling entrepreneurial, no problem! You can always find a job at an existing teletherapy company. As mentioned earlier, these companies have the same issues standard OTs do: attracting patients, and if they’re cash-based, it’s a double whammy when it comes to the challenges of marketing to patients. That said, now that we’re hunkering down more to quell the spread of COVID-19, these companies are likely to need more therapists very soon!

Here are some of the companies that provide telehealth OT services:

3. Convince your existing practice to incorporate elements of teletherapy

Telehealth can be a wonderful ancillary service, and it can also add value to a clinic’s offerings. By incorporating a telehealth wing in a clinic or facility, you will help improve patients’ access to care, and might help decrease cancellations.

This would be especially helpful in states where Medicaid is reimbursing OT treatments.

If you’re able to convince your workplace to incorporate telehealth into its practice, you’ll grow immensely in your career. Not only will you spearhead a movement to build a program in your organization (which can look great on the resume if you ever pursue non-traditional OT career paths), you can feel proud that you helped bring your workplace to the forefront of a new horizon (cue sci-fi music)!


Platforms for providing telehealth

Ok, with COVID-19 throwing our lives into disarray, available platforms are in a bit of upheaval, as regulations are changing.

Again, please reference this announcement for updates on how HIPAA is being relaxed. That said, before you commit to a platform, be aware that you’re wise to consult with an IT professional and healthcare attorney before you commit to a setup for your teletherapy. Once the HIPAA guidelines return to normal after the pandemic crisis, you’ll be held to stringent privacy standards.

Let’s start with platforms NOT to use: 

  • Facebook Live
  • Twitch
  • TikTok
  • Think: any video that is public-facing

Platforms that have been approved—but do not offer comprehensive solutions like payment and robust scheduling

  • GotoMeeting
    • Plans start at $12/month
    • Recently updated speed to 65% faster
    • HIPAA-ready
  • Skype for Business/ Now Microsoft Teams
    • Plans start at $8.25/user per month
    • Comes with the MS office suite
    • More advanced plans offer compliance and security
  • Updox
    • Three pricing tiers; must contact company to get a quote
    • Includes document management and storage
    • Enables document signing
  • Zoom for Healthcare
    • $200/month
    • Consistent, high-quality video
    • Commonly used in webinars
  • Google G Suite Hangouts Meet
    • Free trial; plans start at $6/month
    • Incorporates with the Google suite of tools
    • Up to 100 participants per call (good for groups)

HIPAA-compliant platforms that provide more comprehensive solutions: 

  • Blink Session
    • Plans start at $38/month; somewhat complex pricing structure
    • Waiting room function
    • Ability to share clients among therapy team
  • BlueJay
    • Many options; must contact them for quote
    • Very robust; some plans come with integrated HEP and patient engagement
    • Some plans come with reporting and compliance features
    • Free for limited services
    • Reviewers on Capterra highlighted the solution’s free option and ease of use
    • These same users mentioned that calls drop if the internet service isn’t strong
  • eVisit
    • Pricing options vary for clinics vs. large systems
    • Robust scheduling option
    • Visit reminders for patients
  • Health Recovery Solutions
    • Numerous product and pricing options for various types of practices
    • Specialized and setting-specific platforms (e.g. home health)
    • Established presence in prestigious healthcare systems
  • HelloNote
    • Rates start at $45/month for EMR; telehealth rates require a quote
    • Integrates well with HelloNote EMR system
    • EMR built by therapists
  • SimplePractice
    • $39/month to start (free trial)
    • Part of a wider practice management platform for small businesses in health and wellness (including EMR)
    • Includes integrated features, such as free appointment reminders (SMS, email, and voice), mobile app, e-claim filing
    • Reviewers report a clean interface
  • thera-LINK
    • $30/month to start (free trial)
    • Focused on mental and behavioral health; geared toward individuals and small organizations
    • Payment integration feature
  • TheraNest
    • $38/month to start
    • Unlimited users, storage, and support
    • Specifically tailored for mental health applications
    • Electronic health record software with Wiley Practice Planners treatment planning solution add-on
  • TheraPlatform
    • $29/month to start
    • Designed to support both in-office and telehealth visits
    • Includes waiting room, group sessions, and appointment reminders
  • VSee
    • $49/month to start
    • Unlimited calls and chats
    • Triage queue options; walk-in waiting room feature

How to learn more about OT and Telehealth?

If you are ready to dive even deeper into OT and telehealth, you are not alone. There are more resources out there for you. Here’s some that we’ve found:

Here Comes Telehealth: Podcast from Jason Davies at The OT School House

Parent Coaching in the Teletherapy Context: Webinar Meg Proctor at Live Play Thrive

Starting out in Telepractice: Course from MedBridge

Telehealth for Hand Therapists: Podcast from Hand Therapy Heroes

Telehealth OT Mini Course: Course from Reina at The Telehealth OT

What’s next for OT and telehealth?

Only time will tell where telehealth will take us, but we do know one thing: telemedicine is the future.

After all, Amazon’s new healthcare venture has alluded to a focus on telemedicine, wellness, and end-of-life care in a recent letter to shareholders. With Atul Gawande at the helm of this powerhouse initiative, virtual health will grow in ways we can only imagine.

So whether you enjoy hands-on care or you’re seeking a non-traditional OT role where you use your degree to its fullest, chances are, change is coming. Even if you have no intentions of landing a purely telehealth job, you’ll likely be incorporating teletherapy into your daily practice much sooner than you’d think!

What are your questions/thoughts about telehealth? Share them in the comments and I will do my best to address them in future updates to this article! 

66 replies on “Telehealth Occupational Therapy Guide”

Great article! Very informative. Thanks for your hard work. I have been thinking about this for awhile now.

I’ve been interested in this topic for some time now and it was so fun to compile the information in one place! Thanks for reading 🙂

Ok. Someone from Global Teletherapy told me that hypothetically they COTAs can, but that her company only hires OTR/Ls. That isn’t particularly helpful. If you were feeling really motivated to find a position, you could just reach out to the individual companies listed above.

Thank you so much for taking the time to let me know! I swear the AOTA site is always shifting on me! I just found a new way to access the chart and included it.

Hi Sarah,
I am very interested in Telehealth with hand therapy patients.
I am a CHT and think this would be a wonderful way to help patients who are not able to get to therapy as often as the doctor prescribes. What are your thoughts? Also do you know of any other CHT’s that are working in Telehealth?

Hi Anne! I follow Virtual Hand Care on Instagram. I don’t know the exact logistics of her business model, but it definitely seems worth looking into! I agree that hand therapy seems like a great telehealth opportunity!

Absolutely! I love following what you are doing via Instagram! I’m ready for you to disrupt hand therapy 🙂

Thanks Sarah,
I just checked out her website and I am going to contact her.
Thanks for all the info. I appreciate you!

Thank you for the informative article! Teletherapy is definitely here to stay.

Enable My Child provides teletherapy services exclusively to children. We serve students with IEP needs through school contracts and we also work directly with parents. EMC is expanding to Early Intervention and hospital settings.

Our company is growing quickly and there are therapist jobs being posted almost daily in our Facebook jobs group:

I encourage anyone who loves working with children to learn more about this option!

Can telehealth be strictly cash based. Do we have to bill insurance? I would like to consider looking at this for private practice but would rather it be cash based instead of insurance based. Thanks L

Hi Sarah- What information have you found about providing telehealth outside of the state you are licensed in, ie live in MA but provide consultation to a client in WI

It’s my first visit to this blog, it seems that you are fond of writing since so long because the selection of topics is so nice also the information which you have mentioned here is real and impressive. Really appreciate.

Thank you for sharing your information. Any chance to share some specific mental health treatments being carried out?

Great Article! As an OT in Massachusetts this would be a refreshing change from Home Health. I did look into telehealth back in the fall but without OT Pediatric experience its hard to break into this shell. I did see a few select companies that service Adults and hope it continues! Thanks for the information.

Does anyone know what supervision for a COTA would look like in this area/if there are any laws about COTA’s providing these services?

Very interested in possibly starting a new journey into telehealth, more now then ever, given the current situation with social distancing. Can you talk a little about how this will work with a COTA ? Supervision, evaluations, etc. Thanks! Great information on your blog!

What happens when your home health company asks you to make phone visits (telehealth) in place of actual visits but can’t answer how they will reimburse me for my prep/phone conversation /documentation as a per diem OT? What is the correct way to address this?

Oh man, I think many practitioners are facing tough ethical decisions like this. I don’t think there is a "correct" answer to many of the questions we all have right now. My take is to try to communicate the best you can with your company, but then it will probably come down to a personal decision on your part.

For screen sharing interactive games and websites, what are some of your favorites? I’ve seen abcya and pbskids.

Highlights is amazing, Sesame Street has a section for games AND they have a section for parents related to coronavirus, has learning games, has learning games, the Kidz page has games and puzzles

I am heading up the change to telehealth for our OT pediatric group. Does anybody have any good resources for treatment planning these session for pediatric clients?

Pediatric OT groups on Facebook have posted a lot about telehealth, including some treatment ideas. This is a link to a closed group so you’ll have to request access if you’re not already in but they’re generally pretty quick to respond.
I’ve also been compiling resources (mostly treatment ideas and free printables) on my OT Pinterest board.

A general search for OT telehealth may be helpful too. I just started doing that so I don’t know for sure yet if it’s useful.

This is a link to a webinar about parent coaching

This is a link to a video example of a pediatric telehealth session

We heard that a payer (Primera) was allowing telemedicine for OT right now, so we called to check. The support person confirmed that they were covering those services, but then told us she wasn’t allowed to tell us HOW to bill correctly for such services. So how are we supposed to figure it out and get our clients confident enough to do these services?

Thank you for the hard work you put into this article. I have been thinking about starting a telehealth practice in behavioral health but I don’t know where to begin. I’ll continue to follow your posts to see of anything turns up.

Thanks for this information article. Do you have any advice for a therapist whose manager says "we don’t have time or infrastructure to deal with it" in regards to making telehealth an option during COVID 19?

Hi Jennifer, the US Dept of Education clearly states that if a school district is providing education to the general education population during Covid-19, then the school must provide equal access "to the greatest extend possible" to students in special education. Here is the link to the document from the US Dept of Edu:

Great resource article! My school district is asking me which Teletherapy platforms offer the most flexible and cost-effective options for OT services (whiteboard, PDF uploads, and mark-up, apps, etc…
I would love to know what school districts have begun to use for the immediate and emergent moment in time?

Hi Laura, my school district is using Zoom and Google classroom. So far, I have used Zoom for meetings with my colleagues and have not yet used it for any teletherapy as the district is still figuring out how to best roll this service out. Zoom is free and does give you the option of a whiteboard and ability to share your screen. Not sure what state you practice in but I would also remind you that related services need to be working in concert with your instructional team and not a stand-alone.

Hi Sarah, Thank you so much for this amazing article. I have been strongly thinking of attempting to start a private practice in the area of Hand therapy via telehealth…for people that do not have the time to get to the clinic and especially now during this horrible pandemic. However I am not planning to bill insurance… I would like to just be paid privately. My understanding from your article is that I can only practice with patients in my own state? Just want to ask you to clarify if that law applies to private pay as well? or only if you are billing insurance? Thank you in advance. I have a few other questions but will hold until I receive this answer. By the way my maiden name was Lyons. Thank you Sarah!

Judy, I just saw your question, and after taking an online course on telehealth, thought I could answer it for you. The location of service is the state that the patient resides in. So if you are licensed in Ohio, but you patient lives in Georgia, you would need to hold a Georgia state OT license. This could really get pricey if you have patients all over the US. Good luck with this new venture, and I pray you and your family are well.

Hello, I was wondering if we can shadow an OT who practises teletherapy – there is some time freed up in my weekly schedule due to school being online now.

Hi, thank you so much for this article. The school district I currently work for is transitioning to tele-practice due to the covid-19 closures. Our department is in the process of creating a set of guidelines for parents and staff. We have been attempting to find more information regarding regulations in relation to virtual assessments (either initial or triennial). We haven’t had much luck finding concrete rules, most articles mention it is up to the therapist discretion. Do you have any further information regarding completing OT assessments using a virtual platform? Thank you in advance!

Hello all! I am a little late to the party getting Telehealth options started. I am planning to be working with neuro populations, PD, CVA, TBI , FSH-MD, and possibly some ortho.
I am curious if anyone has found any of templates required to for consent to treat/ HIPPA forms. I believe that they vary state by state . Are there specific guidelines for what needs to be in those? Hoping to use something out there and refine as necessary for OR. Many thanks!
Kelly B. ( Portland, OR)

Hi Kelly,
I’m happy to talk more about this as I have some experience with telehealth with those populations – depending on the platform you use, some have templates (like Simple Practice) have their own templates built in (and the ability to have patients sign in real time). Some states (like California) require consent and typically you can get an initial consent and then document a verbal consent in your note in individual sessions.

Lauren S. (San Francisco, CA)

Hi Everyone,
My school district is also moving to telehealth. I would also love to see a template for a consent form that other school districts are using. I am in the state of CA, but if someone is willing to share, I am sure that my district will be able to alter it to our needs. Thanks so much in advance! Best, Grace L.

I am a COTA working in a SNF. My director is using an OTR through Telehealth. My fellow COTAs and I have not had any interaction with her since this began last week nor do I have an understanding of how her evaluations are being done. What is the protocol for such a format?

Thank you for all of this great information. Has anyone in this post every created a telehealth business and hire therapists to provide service. Question #2: Is anyone doing telehealth in health promotion and mental health? If so, what does that look like as far as assessment? Thank you so very much. Lisa

Hi Sarah, This is a great in-depth post about telehealth! Such great information. I have linked it to the "Start here" post on my site. I worked for Presence Learning before most people had heard of telehealth!

Do you have any resources on how to communicate with parents regarding their new role as an "e-helper" for teletherapy sessions? Along with tips we can pass along to them on how to set up and get ready for teletherapy? Thanks!

Hi Sarah,
I am so elated that I came across this article. This is great information! I am an OT student(only 8months into my studies) studying in the UK. Our dissertation module has been pushed up due to Covid-19. A suggestion topic was telehealth and I got interested and started surfing online and came across your article. At the moment I am unsure as to what question I should formulate around teletherapy. However, my interest has been sparked towards the relevancy of telehealth and future pandemic(s). I’d welcome any suggestion(s) in the right direction. Keep up the good work and I’ll be keeping an eye out for future articles.

With thanks,


Currently working in telehealth, one of the biggest difficulties we run into is administering standardized assessments (such as MoCA, MVPT, etc.). Does anyone have any resources or recommendations for administering standardized assessments virtually?

Hi Sarah, and thank you so much for this informative article. I have a question, which I’m having a tough time finding an answer to on my own.
As a Canadian based therapist, am I able to obtain work with a US based telehealth company? (I’m working on obtaining license to practice in the US) It seems the only option for Canadian therapists is TinyEYE.

Thanks in advance!

I am a senior Pre-OT student hoping to gain additional observation hours via remote means during this time. I already have shadowed in two different settings, but hope to gain more experience to better prepare for graduate school and my future career. I was wondering if any OTs here would be willing to allow me to shadow them remotely. I am always attentive and respectful when I shadow, only making myself seen and heard if specifically requested. I would greatly appreciate any OT who would be willing to let me shadow remotely, even just for a day or two! Thank you so much! My email is

I am an OTR in NY state with mainly skilled nsg facility/long-term (general) rehab experience. Would like to move into telehealth area. Could you recommend what CEU courses to focus on to be better equipped to provide telehealth for adults? (My best guess would be along the lines of ortho, ergonomics, yoga, stroke recovery etc ) TY 🙂

Hello my name is Ena-Lynnette !
I am applying to OT school and hoping to gain observation hours via remote means during this time for my admissions requirements. I am very agar and passionate about the field and the different setting OT work in. If there are any any OT who would be willing to let me shadow remotely, even just for a day or two! Thank you so much! My email is

Hi there!!!!

Great article and great resources. I am going to review some of the podcasts listed above and will look into the OT Potential Club.
My name is Rosie and I am an OT working in the school district in Texas. Can you tell me if we need to document each time that we obtained verbal consent when working with parents/school children (I’ve have had to see some of my more involved students with the parents, sometimes with the spec ed and/or resource teacher, depending on the student)? Can we just use a general telehealth consent form?? Any thoughts?? Please email me at

Do we know whether OT assessments for school aged kids can be done virtually? Concerns about standardisation and challenges related to services

My name is Matthew. I am currently applying to Occupational Therapy programs in Texas. I have observed at many different facilities, but for both PT and OT. For my application, I need more hours of OT observation. However, due to the COVID-19 pandemic, I am struggling to find shadowing opportunities. I have reached out to hospitals and local school districts. I have been told that due to the circumstances and to liability issues, I am unable to observe them at this time. Therefore, if there is anybody who could allow me to remotely observe a minimum of 20 hours, I would be very appreciative. My email is

Are there performance reviews available for OT’s who have shifted to remote work that take into account the different set up?

This is very informative. Telehealth in the United Kingdom in now beginning to be considered in OT services. Still a bit of a way to go but the NHS is now coming around. Important to consider barriers though, like lack of social cues, a narrower view of a patient’s occupational environment.

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