Visual and Fine Motor Screening Request Form

Visual and Fine Motor Screening Request Form


From The Organizing OT, this product is a visual and fine motor screening request form designed to engage the classroom teacher in the process. As part of a Response to Intervention process, this form focuses on sharing knowledge and building relationships so that students can have their needs met in the least restrictive environment. 

If you like this product, please check out the Sensory Screening Request and Data Collection forms!

  • Digital Download: Please download within 24 hours of accessing link
  • Pages: 2
  • Format: PDF
  • Created in 2013

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About the Creator

Heather Brohm is a graduate of Boston University and an occupational therapist with more than 5 years of experience in the schools. In addition to her work as an OT, she has had many other opportunities to learn from children, both professionally and personally.  Her professional interests include child development, transition, and evidence-based practice. 

As with all of The Organizing OT products, Heather welcomes feedback and hopes that you are satisfied with your purchase! Please feel free to contact her with any questions, concerns, or suggestions!


Products by Heather Brohm are licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 Unported License.

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