---
title: Occupational Therapy Stroke Rehabilitation Treatment Consent Form Template | Paperform
description: Professional occupational therapy consent form for stroke rehabilitation covering ADL goals, home safety assessment, and caregiver training. Secure, customizable, and compliant template.
url: "https://paperform.co/templates/occupational-therapy-treatment-consent-for-stroke-rehabilitation"
type: static
generatedAt: "2026-03-28T00:44:40.223Z"
---

[← Back to free form templates](/templates/)    ![Occupational Therapy Treatment Consent for Stroke Rehabilitation](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/occupational-therapy-treatment-consent-for-stroke-rehabilitation.png)
    [Preview](https://_preview.paperform.co/ai-template/occupational-therapy-treatment-consent-for-stroke-rehabilitation) [Use this template for free](/create?ai-template=occupational-therapy-treatment-consent-for-stroke-rehabilitation)    [Consent & Permission Forms](/templates/category/consent-permission/)[Healthcare & Medical Forms](/templates/category/healthcare/) [Healthcare](/templates/industry/healthcare/) [Nurse](/templates/role/nurse/)[Social Worker](/templates/role/social-worker/)[Physical Therapist](/templates/role/physical-therapist/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Occupational Therapist](/templates/role/occupational-therapist/)     About this free form template
Occupational therapy plays a vital role in stroke recovery, helping patients regain independence in daily activities and rebuild their quality of life. This **Occupational Therapy Treatment Consent for Stroke Rehabilitation** template is designed specifically for OT practices, rehabilitation centers, and healthcare facilities working with stroke survivors and their families.

This template streamlines the consent process for stroke rehabilitation programs by clearly outlining treatment approaches including Activities of Daily Living (ADL) training, cognitive retraining, fine and gross motor skill development, home safety assessments, and caregiver education. Patients and their families can review therapy goals, understand the scope of intervention, and provide informed consent—all in one professional, easy-to-complete form.

Built with Paperform, this template offers a user-friendly experience that can be completed on any device, making it accessible for patients filling out forms at home or caregivers completing paperwork remotely. The clean, professional design reassures patients while collecting essential medical history, functional baseline information, therapy goals, and authorization details.

**Perfect for occupational therapists, rehabilitation clinics, home health agencies, and stroke recovery programs**, this form helps you maintain compliance, document informed consent, and establish clear treatment expectations from day one. Conditional logic ensures only relevant questions appear based on patient needs, while integrated eSignature capabilities through [Papersign](https://papersign.com) allow for secure digital signatures from patients, caregivers, and legal representatives.

You can easily connect this form to your existing practice management software using [Stepper](https://stepper.io) to automatically create patient charts, schedule initial assessments, send welcome packets to caregivers, and trigger intake workflows—eliminating manual data entry and letting you focus on patient care.

Trusted by healthcare providers worldwide, Paperform is SOC 2 Type II certified and GDPR compliant, ensuring your patient data remains secure and confidential. Customize this template to match your practice's branding, add your logo, adjust therapy focus areas, and start collecting professional consent forms that support better patient outcomes.
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