Occupational and Physical Therapy Referral Procedures

Fine Motor Red Flags 3 Year old Self Care Unbutton large buttons unsnap Use a spoon and fork Uses a napkin Doff clothes Donn pull over shirt/elastic pants Visual Motor Draw a circle and cross Trace a horizontal line Draw a picture meaningful to them Grasp Pincer grasp Open web space when grasping manipulatives Static tripod grasp Bilateral Coordination Cut/snip with scissors Visual Perceptual Complete at least 4 piece puzzle Builds 8-10 block tower Copy simple 3 and 4 block designs Sensory Processing Follow simple 2-3 step tasks Directional terms: bottom/ top, over/ under, behind/ in front

Fine Motor Red Flags 4 year old Self Care Zip a zipper Buttons large buttons Holds fork in fingers, not fist Knife for spreading Donn and doff clothing with independence Visual Motor/Perceptual Copies a cross, square Imitate 5-6 block pattern Complete 8-12 piece puzzle Bilateral coordination Cuts line, circle and emerging square with scissors Sensory processing Directional terms: up/down, forwards/backwards, low/high, above/below Follows multiple step directions

Fine Motor Red Flags 5 year old Self Care Dress independently with occasional assistance for fasteners Grasp Emerging dynamic tripod grasp Show hand preference   Visual motor/perceptual Copies a square Identify and print letters of first name Colors between vertical lines Draw triangle and rectangle Bilateral Coordination Cuts a circle Sensory processing Directional terms: right/left

Fine Motor Red Flags 6 year Visual Motor/perceptual Writes upper and lower case letters from model Matches and sorts a variety of objects Bilateral coordination Cuts variety of simple shapes  

Gross Motor Red Flags 2 ½ year old Jumps forward 24 inches Jumps down 18-24 inches, both feet Kicks ball with good force 6 feet Catches ball 5 feet away with arms and hands extended 3 year old Ascends/ Descends steps, no support, alternating feet Throws ball 10 feet 3 ½ year old Runs with good form and fair speed Stands on one foot 3-5 seconds 4-5 year old Hops on one foot Catches ball with hands /arms bent Skips Hits target with ball 12 feet away6 6 years old Jumping jacks Dribbles a ball Able to follow 3 step obstacle course Stands on one foot with eyes closed

OT/PT REFERRAL PROCESS The IEP Team conducts a Reevaluation Plan Meeting to discuss a referral for Occupational Therapy or Physical Therapy. The parent must be invited to this meeting using Enrich notification letters. Psychologist and SLP (if applicable) must be consulted and included in this Re- evaluation process. The Re-eval date will change because the re-evaluation plan looks at all areas. Complete the reevaluation plan and indicate that an OT and/or PT evaluation(s) will be conducted by checking further testing needed for fine motor and/or sensory sections (OT) or gross motor (PT).

OT/PT REFERRAL CONTINUED Parent signs the Enrich Consent to Re-Evaluate (include letter of permission to Evaluate) Teacher completes OT and/or PT referral form (which can be found on the district 7 website within the departments: special education)and has parent sign cover page at meeting. IEP team should request a prescription for “OT evaluation and treatment” or “PT evaluation and treatment” OT: OT can complete an evaluation WITHOUT a prescription IF school/parent is unable to obtain. Please sent a note with referral packet if unable to obtain the OT prescription. PT: A physical therapy prescription is required for a student to be evaluated. Submit the referral packet, (including a copy of the OT prescription if available) to the Director of Special Services for signature.

Processing Requests The Director of Special Services will submit the referral packet to the OT/PT assigned to their district The OT/PT will contact the school/special education teacher to schedule the evaluation. OT/PT will complete evaluation OT/PT will notify Case Manager when evaluation is complete. Case Manager will send home appropriate meeting notifications and schedule evaluation results meeting.

OT/PT Evaluation Follow-up After the OT/PT evaluation, the Multidisciplinary Team (including the OT/PT) reviews the results and completes the Evaluation review meeting. If the IEP team agrees that the student would benefit from OT/PT as a related service, the OT/PT information will be added to the current IEP and the updated IEP will be reviewed at the meeting. If the team does not decide that OT/PT is needed as a related services, the Multidisciplinary team reviews the areas of weakness and makes recommendations for classroom interventions/accommodations as needed.

OT/PT Screen Requests Please email or contact the OT/PT Department For OT contact: Melissa Hendricks MWHendricks@spart7.org Or Ann Marie Moore AMMoore@spart7.org For PT contact: Aimee Sarver ASSarver@spart7.org Or Susan Smith SLSmith@spart7.org Phone (864) 596-8491(and ask for therapy department) An OT/PT screen my be requested for: 1- A student who has an IEP or a 504 that you would like to determine if he/she would benefit from OT services 2- A student that does not have services, but you would like OT/PT recommendations for the classroom teacher to incorporate Students who do not have an IEP or 504 are not eligible for an OT/PT evaluation or direct services.

OT Staff Chapman Houston Mary H Wright EP Todd Pine Street Cleveland Melissa Hendricks, OTR/L Sara Lane, COTA/L Houston Johanna Abadia-Gonzalez, OTR/L Mary H Wright Ann Marie Moore, OTR/L Holley Tankersley, COTA/L EP Todd Pine Street Cleveland Park Hills ELC Freddie Davis, COTA/L Jesse Boyd

PT Staff Chapman Shannon Roberts, PTA Houston Jennifer Jacobs, PTA Mary H Wright Aimee Sarver, PT EP Todd Susan Smith, PT Pine Street Cleveland Park Hills ELC Jesse Boyd