OT/PT Services

Program Specialist: John Ballard

Referral Forms for Motor Development to download or print.

Motor Development Referral Form for Preschool and Kindergarten

Motor Development Referral Form for Grades 1st to 12th

To make a referral to Occupational/Physical Therapy, print one of the forms above, fill out the form as completely as possible, IMC Mail it to Kathi Pulsipher at Oakridge School.

Occupational Therapy/Physical Therapy Services

Nebo School District currently has employed 4 part time licensed Occupation Therapists and 1 full time licensed Physical Therapist. These licensed professionals train and instruct motor development aides in delivering Motor Development to those students who qualify under the provision of Free and Appropriate Public Education (FAPE) act.

Nebo's approach to Occupation and Physical therapy is to provide an educational model not a medical model for delivery of services. Schools provide Motor Development therapy when a child with a disability requires this related service to assist the child to benefit from special education. This means that the student is evaluated in the motor skills needed to access the educational setting where the student attends school. Reasons for referral include but are not limited to the following.

Feeding and Cafeteria - the student has difficulty with the following activities:

Tolerating a variety of foods and textures
Excessive spillage and messy eater
Carrying tray through line to table
Opening containers i.e. milk
Using utensils
Sitting at lunchroom table
Drinking rim a straw or cup
Sucking or chewing

Pre Academic / academic - the student has difficulty with the following activities:

Putting on and taking off coat
Changing clothes
Sitting
Managing fasteners on clothing

Bathroom - the student has difficulty with the following activities:

Managing clothing
Accessing bathroom faucets, soap, paper towels
transferring on / off the toilet
Accessing exterior and stall doors

Functional Mobility - the student requires physical assistance to perform the following activities:

Getting on / off the school bus
Moving through crowded / uncrowded hallway
Opening / closing school doors
Moving through doorways
Getting on / off classroom chair
Sitting on the floor for circle time
Sitting on the classroom chair
Walking around the classroom / lunchroom
Getting up / down from the floor
Accessing playground / playground equipment
Accessing locker
Managing uneven surfaces (curbs, grass)
Going up / down stairs
Keeping up with peers
Orthopedic condition
Uses adaptive mobility equipment (wheelchair, crutches, cane)