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North Dakota Occupational Therapy FAQs

Welcome to our North Dakota 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. 


Continuing Education 

    • How many CE hours are required during a reporting period?
    • How is credit hour defined?
    • How long is the reporting period?
    • When are CE hours due?
    • Can CE credits be carried over into the next reporting period?
    • Are there any specific course requirements?
    • What types of activities can be used for the CE requirements?
    • Are there limitations on the types of courses that can be taken?
    • What type of approval is needed for the courses?
    • What type of courses or activities are not allowed?
    • What are the reporting requirements?
    • How long must CE records be retained?
    • Request to waive CE requirements
    • What happens if I am audited?

Scope of Practice

    • How is the practice of Occupational Therapy defined in North Dakota?
    • What services are included in the scope of practice?
    • Services specifically excluded from the scope of practice
    • Are there any specific procedures or modalities regulated by the board?


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

    • Supervision definitions
    • Which services can only be performed by a licensed OT?
    • What are the responsibilities of the OT when delegating?


    • 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 is the ratio between supervising OTs and OTAs?
    • Designation for assistants


    • What can an aide do?
    • What is an aide expressly prohibited from doing?
    • What type of supervision is required?
    • What is the ratio between supervising OTs and aides?
    • Required designation for aides

OT/OTA Students and New Graduates

    • Supervision requirements under an OT
    • Supervision requirements under an OTA
    • 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 New Hampshire if I am licensed in another state?
    • What is the process for getting reciprocity in North Dakota?


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

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?

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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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