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Massachusetts Occupational Therapy Students

Exemption for students

Student. Any person pursuing a supervised course of study leading to a degree in athletic training, occupational therapy or physical therapy in an accredited or approved program, including co-operative education programs and post-doctoral clinical education programs. Students involved in clinical affiliations which are part of their educational program may perform duties commensurate with their level of education, in addition to those duties which may be performed by aides. Students whose employment is not part of a co-operative education program may only perform those duties which may be performed by aides.

What type of supervision is required for a student?

An occupational therapist must provide direct supervision to the following persons rendering occupational therapy services:

  • Occupational therapist students;
  • Occupational therapy assistant students; and
  • Occupational therapy aides, rehabilitation aides, or persons known by other similar titles.

Direct Supervision. A process by which a supervisor is on the premises and available to provide supervision in the form of aid, direction, and instruction when procedures or activities are performed.


The supervising occupational therapist or occupational therapy assistant must co-sign the documentation of occupational therapy assistant students and those holding temporary licenses as occupational therapy assistants.

Student Identification

Students enrolled in an accredited program in occupational therapy shall use the initials OT/s after their name.

Students enrolled in an accredited program in occupational therapy assistance shall use the initials OTA/s after their name.


259 CMR 3.02

259 CMR 3.04

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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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