A clean, professional template for documenting supervised clinical observation hours completed under a licensed occupational therapist — built for OT and OTA students, applicants, and the supervisors who sign off on their hours. Download the fillable PDF free, or watch Terapiq fill it out automatically from a client record.
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The PDF above is free to use however you like. But if you're a clinic, retyping the same names and details onto every form is wasted time. In Terapiq, pick a client like Frank Sinatra and the form populates itself from their record — the same way Terapiq drafts progress notes, consent forms, and session documentation.
Everything you need to document and sign off on supervised observation hours — nothing you don't.
It's a document used to record the supervised clinical observation hours a student or applicant completes under a licensed occupational therapist. OT and OTA program applications typically require a set number of documented, signed observation hours, and this form gives you a clean, consistent place to log dates, settings, hours, and the supervising therapist's attestation.
Yes. Enter your email and you'll get the fillable PDF immediately, free to print or complete on screen. We built it as a thank-you to the OT community — and to show what Terapiq can do.
It varies by program — many OT and OTA programs ask for somewhere between 20 and 40 documented observation hours, sometimes across multiple settings. Always confirm the exact requirement with the programs you're applying to. This form works for any required number of hours.
In Terapiq, yes. If the observer or client already exists in your practice, Terapiq pulls their name and details straight into the form — the same way it auto-fills progress notes, consent forms, and session documentation — so supervisors aren't retyping the same information for every student.
Terapiq is the practice platform built for occupational therapy — documentation, scheduling, billing, and a caregiver portal, all in one place.
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