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Alabama OT Supervision and Delegation


“Supervision” means a collaborative process for the responsible periodic review and inspection of all aspects of occupational therapy services. Responsibility of supervision is shared between the supervising occupational therapist(s) and the occupational therapy assistant(s) and/or all unlicensed personnel involved with the provision of occupational therapy services, including aides and students.

Direct Supervision: The supervising occupational therapist is in the immediate area of the occupational therapy assistant while performing supportive services.

Close Supervision: The supervising occupational therapist provides initial direction to the occupational therapy assistant and daily contact while on the premises at least 50% of the occupational therapy assistant’s direct patient care hours per month.

General Supervision: The supervising occupational therapist has face-to-face contact with the occupational therapy assistant at least once every 30-calendar days, with the supervising occupational therapist available by telephone, electronic, or written communication.

Which services can only be performed by a licensed occupational therapist?

Only a licensed occupational therapist shall:

    • Prepare a written initial treatment plan prior to implementation by the occupational therapy assistant, initiate or re-evaluate a client or patient’s treatment plan, or authorize in writing a change of a treatment plan
    • Delegate duties to a licensed occupational therapy assistant, designate an assistant’s duties, and assign a level of supervision; and
    • Authorize a patient discharge


Ala. Admin. Code ยง 625-X-8-.01

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