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Alabama Occupational Therapy

Welcome to our Alabama Occupational Therapy FAQs.  We’ve combined Alabama statutes, board rules, and position statements to create a clear guide on the rules that must be followed by OTs and OTAs.

Continuing Education 

  • What are the continuing education hour requirements?
  • How long is the reporting period?
  • Which type of courses are considered acceptable?
  • How do I convert hours to CEU?
  • Are employer courses acceptable?
  • Are CPR courses acceptable?
  • Are there any limitations on course subjects?
  • What are the CE documentation requirements?

Scope of Practice

  • Alabama’s definition of occupational therapy
  • What is included in the practice of occupational therapy?
  • Services specifically excluded


Orders and Referrals 

  • Is a referral required to provide OT services?
  • Which professions can issue the referral?
  • Long-term and chronic disability
  • Are there any exceptions to the referral requirement?

Supervision and Delegation

  • Definitions
  • Levels of supervision
  • Which services can only be performed by a licensed occupational therapist?


  • Which services are OTAs allowed to practice?
  • Are there specific services that OTAs are prohibited from practicing?
  • Responsibilities of an OT delegating to an OTA
  • What type of supervision is required?
  • What is the ratio between supervising OTs and OTAs?
  • Required designation for assistants


  • What can an aide do?
  • What is an aide expressly prohibited from doing?
  • What are the responsibilities of the OT when delegating to an aide?
  • What type of supervision is required?
  • What is the ratio between supervising OTs and aides?
  • Registration

Students and Graduates

  • Can students practice in a clinical setting?
  • What kind of supervision is required for student OTs and OTAs?
  • How must students identify themselves?
  • Graduate practice – temporary permits
  • What type of supervision is required for a temporary permit holder?
  • Duration of the permit

Identification and Notification 

    • How can I use “Dr” in my title?
    • Required designation for occupational therapists
    • Are there any specific requirements for posting notifications or licenses?
    • When does an OT have to notify the board of any information changes?
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