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Pennsylvania OT Orders

An occupational therapist may enter a case for the purposes of providing indirect services, consultation, evaluating an individual as to the need for services and other occupational therapy services for conditions such as perceptual, cognitive, sensory integration and similar conditions.

Implementation of direct occupational therapy to an individual for a specific medical condition shall be based on a referral from a licensed physician, licensed optometrist, licensed podiatrist, licensed certified registered nurse practitioner or licensed physician assistant.

Written Orders

An occupational therapist shall accept a referral in the form of a written order from:

    • A licensed physician;
    • A licensed optometrist;
    • A licensed podiatrist;
    • A certified registered nurse practitioner; or
    • A licensed physician assistant.

Accepting Oral Orders

An occupational therapist may accept a referral in the form of an oral order if it is impractical for the licensed physician, licensed optometrist, licensed podiatrist, certified registered nurse practitioner or licensed physician assistant to provide the order in writing.

An occupational therapist receiving an oral order shall immediately transcribe the order in the patient’s medical record, including the date and time the order was received, and sign the medical record.

The occupational therapist in a private office setting who has received an oral order shall obtain the countersignature of the licensed physician, licensed optometrist, licensed podiatrist, certified registered nurse practitioner or physician assistant who issued the order within five (5) days of receiving the order.

If the occupational therapist who receives an oral order provides services in a setting that is independent of the prescriber’s setting, the occupational therapist may accept the countersignature of the ordering licensed physician, licensed optometrist, licensed podiatrist, certified registered nurse practitioner or physician assistant on a written copy of the order that is mailed or faxed to the occupational therapist.

If an occupational therapist provides services in a facility licensed by the Department of Health, the countersignature of the ordering licensed physician, licensed optometrist, licensed podiatrist, certified registered nurse practitioner or physician assistant shall be obtained in accordance with the applicable regulations of the Department of Health governing the facility, including 28 Pa. Code § §  211.3 and 601.31 (relating to oral and telephone orders; and acceptance of patients, plan of treatment and medical supervision).

Citation

63 P.S. §§ 1514

49 Pa. Code § 42.25

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