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● Free download · Fillable PDF

Occupational Therapy Observation Hours Form

A clean, ready-to-use template for logging OT observation and volunteer hours — by date, setting, and supervising therapist. Print it, fill it in, or add your clinic’s logo. Yours free.

  • Tracks date, setting, supervising OTR/L, hours & signatures
  • Auto-totals for OT school & licensure applications
  • White-label ready — drop in your clinic’s branding
How Terapiq helps
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PDF · Fillable
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Observation Hours Log
Occupational Therapy — Observation Hours
Observer name
Program / school
Supervising OTR/L
License #
DateSettingSupervisorHrsSign
Total hours 
Free template provided by Terapiq · terapiqcrm.com
What’s inside

Everything you need to log hours properly

Built around how OT programs and state boards actually want hours documented — so applicants and supervisors aren’t left guessing.

  • Dated rows for each observation session
  • Setting / facility and practice-area columns
  • Supervising OTR/L name, license #, and signature line
  • Running total of hours for applications
  • Header space for your clinic’s logo and details

Who it’s for

Pre-OT applicantsOTA / OT studentsFieldwork coordinatorsSupervising OTsClinic owners

If you supervise observers or need to prove hours for a program or license, this form keeps it clean, consistent, and signature-ready.

From paper to effortless

Love the form? You’ll love not needing it.

The template is great on paper. Terapiq does the same job digitally — no lost sheets, no manual tallies, no chasing signatures.

Capture it in seconds

Fill it in from any device — Terapiq handles the totals, dates, and formatting automatically.

Signatures & audit trail

Sign-offs, dates, and details are captured and time-stamped — ready whenever someone asks.

One place for your clinic

Forms live alongside scheduling, notes, and billing — not in a folder of loose PDFs.

The software in action

One platform, the whole clinic

This form is just the start. Here’s what else stops being paperwork.

Book in one drag

Click-and-drag appointments, online self-scheduling, and automatic reminders that cut no-shows — across every therapist, room, and location.

Explore scheduling →
Wednesday · Room 2
9:00OT eval
10:30Group
1:00Peds OT

Notes that draft themselves

Document during the session and let the note assemble itself — goals, minutes, and CPT codes included. Review, sign, done.

See OT documentation →
Session note · Olivia S.
Goal: bilateral coordinationOn track
Auto-drafted from sessionReady to sign

The note becomes the bill

CPT-coded superbills straight from your documentation, live authorization tracking, and self-pay or insurance set per service.

Explore OT billing →
Superbill · ready to send
97165 · Evaluation$120
97530 · Ther. activities$80
Total$200
Questions

Form FAQ

How many observation hours do OT programs require?

It varies a lot — some programs ask for 20–40 hours, others want more, and many want them spread across different settings. Always check each program’s current requirements before you start logging.

Does the supervising OT need to sign every entry?

Most programs want a licensed OT to verify the hours. This form has an initials column per row plus a full attestation and signature block at the bottom, so you can capture both.

Can I use this for volunteer or shadowing hours?

Yes. Observation, shadowing, and volunteer hours all fit — use the setting column to record where each session happened.

What if I observe in several different settings?

That’s ideal, and the form is built for it. Each row records its own setting, so one sheet can cover pediatrics, school-based, hand therapy, and more.

Can Terapiq track observation hours for my clinic?

Yes. If you host observers regularly, Terapiq logs hours digitally with automatic totals and supervisor sign-off — no loose paper to chase.

Grab the form — it’s on us

Free, fillable, and ready to brand. Download it now and see how much easier this can be.