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Hawaii Occupational Therapy FAQs

Welcome to our Hawaii Occupational Therapy FAQs.  We've combined the state laws, board rules, and statements to create a clear guide on the rules that must be followed by OTs and OTAs. 

Members have full access to the material and can email us regarding any billing or compliance issue, please consider joining today if you need additional assistance.  Please contact us if you would like to discuss how we can help your practice.  


Scope of Practice

    • How is occupational therapy defined in Hawaii?
    • What is included in the practice of occupational therapy?
    • What is specifically excluded from the practice?
    • Are there any special trainings or requirements?


Referrals - Direct Access

    • Is a referral required to provide OT services?
    • When does an OT have to refer a patient to a physician?

Supervision and Delegation

    • What are the different levels of supervision? 
    • Which services can only be performed by a licensed OT?
    • What are the responsibilities of the OT when delegating?
    • What is the ration between the supervising OT and assistive personnel? 


    • Which services are OTAs allowed to practice?
    • Are there specific services that OTAs are prohibited from practicing?
    • What type of supervision is required?
    • Does the supervising OT need to co-sign documentation created by the OTA?


    • What tasks can an aide perform?
    • What is an aide expressly prohibited from doing?
    • What type of supervision is required?
    • Required designation for aides

Continuing Education

    • No CE Requirements 


    • What must be included in the patient record?
    • What are the OTs documentation responsibilities?
    • When is a reevaluation/reassessment required?

OT/OTA Students and New Graduates

  • What are the supervision requirements for students?
  • Required designation for a student
  • Who is eligible for a temporary license?
  • What type of supervision is required for a temporary license holder?
  • How long does the temporary license last?
  • Can the license be renewed?

Out-of-State OTs

  • Can I practice in Hawaii if I am licensed in another state?
  • What is the process for getting reciprocity in Hawaii?

    Identification and Notifications

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

    Unprofessional Conduct 

    • When am I obligated to report to the board?
    • What is consider unprofessional conduct?

    Hawaii Occupational Therapy Board Fees

    About Us

    Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices.

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