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California Occupational Therapy Application for Approval

California Occupational Therapy Forms

In order to provide any of the advanced practice services an occupational therapist shall apply to the Board and receive approval in that advanced practice area.

To apply for approval, an occupational therapist shall submit to the Board an application along with the required documentation.

    • Applicants seeking approval in the area of Hand Therapy shall submit the Application for Advanced Practice Approval in Hand Therapy (Form APH, Rev. 10/09), hereby incorporated by reference;.
    • Applicants seeking approval in the use of physical agent modalities shall submit the Application for Advanced Practice Approval in Physical Agent Modalities (Form APP, Rev. 07/11), hereby incorporated by reference;
    • Applicants seeking approval in the area of Swallowing Assessment, Evaluation, or Intervention shall submit the Application for Advanced Practice Approval in Swallowing (Form APS, Rev. 10/09), hereby incorporated by reference.

The documentation must include the following:

    • Documented proof of attendance and completion of each course (i.e., certificate of completion or transcript).
    • Evidence of the number of contact hours completed for each course for courses that are not Board approved.
    • Outline or syllabus of each course for courses that are not Board approved.
    • Information describing, in detail, the depth and breadth of the content covered (e.g., a course syllabus and the goals and objectives of the course) as it relates to the advanced practice area.
    • Resume or credentials of each instructor for courses that are not Board approved.
    • Verification of completion of supervised on-the-job training, clinical internship or affiliation reflecting the nature of the training and the number of hours. Such verification must be signed by the supervisor(s) under penalty of perjury.

An advanced practice application not completed within six (6) months of receipt or notification of deficiency, whichever is later, shall be deemed abandoned.

An application submitted subsequent to the abandonment of a previous application shall be treated as a new application.

Citations

Cal. Bus. & Prof. Code § 2570.2

Cal. Code Regs., tit. 16 § 4155


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