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Indiana Occupational Therapy Orders and Referrals

An occupational therapist may not provide occupational therapy services to a person until the person has been referred to the occupational therapist by, or the occupational therapist is acting on the order of, one (1) of the following:

    • A physician or osteopathic physician licensed under IC 25-22.5.
    • A podiatrist licensed under IC 25-29.
    • An advanced practice nurse licensed under IC 25-23.
    • A psychologist licensed under IC 25-33.
    • A chiropractor licensed under IC 25-10.
    • An optometrist licensed under IC 25-24.
    • A physician assistant licensed under IC 25-27.5.

The occupational therapist shall report to the practitioner as specified by the practitioner who provided the referral or order. However, if the practitioner does not specify a reporting requirement, the occupational therapist shall report to the practitioner upon completion or termination of occupational therapy services.


An occupational therapist may provide the following services without a referral from a physician:

  • Ergonomic or home assessment.
  • Injury or illness prevention education and wellness services.
  • Occupational therapy activities provided in an educational setting
  • Occupational therapy activities that the board determines, after reviewing the recommendations of the committee, are appropriate to be conducted in a community based environment.


IC 25-23.5-3-1.5

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