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California OT Hand Therapy 


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)

Required Hours

Hand therapy services may be performed only when an occupational therapist has demonstrated to the Board in an application filed that he or she has met the post professional education and training requirements established by this section as follows:

    • Education: Completion of forty-five (45) contact hours in the subjects listed in Code section 2570.3(e), including 30 hours specifically relating to the hand, wrist, and forearm.
    • Training: Completion of 480 hours of supervised on-the-job training, clinical internship or affiliation, which may be paid or voluntary, pertaining to hand therapy.

An occupational therapist whose application provides proof of current certification as a Certified Hand Therapist, issued by the Hand Therapy Certification Commission, shall be deemed to have met the education and training requirements established by this section.

Using Physical Agent Modalities

An occupational therapist providing hand therapy services using physical agent modalities must also comply with the requirements of section 4152 (See California OT Physical Agent Modalities). A maximum of eight (8) contact hours and 60 hours of supervised on-the-job training, clinical internship or affiliation, paid or voluntary, completed under section 4152 will be credited toward the requirements.

An occupational therapist may provide only those hand therapy services he or she is competent to perform.


16 CCR ยง 4151

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