---
title: Virtual Occupational Therapy Assessment Form Template | Paperform
description: Comprehensive telehealth OT assessment form for evaluating daily living activities, adaptive equipment needs, home modifications, and return-to-work planning. Fully customizable for remote therapy sessions.
url: "https://paperform.co/templates/virtual-occupational-therapy-assessment-form"
type: static
generatedAt: "2026-03-28T00:45:31.761Z"
---

[← Back to free form templates](/templates/)    ![Virtual Occupational Therapy Assessment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/virtual-occupational-therapy-assessment-form.png)
    [Preview](https://_preview.paperform.co/ai-template/virtual-occupational-therapy-assessment-form) [Use this template for free](/create?ai-template=virtual-occupational-therapy-assessment-form)    [Healthcare & Medical Forms](/templates/category/healthcare/) [Healthcare](/templates/industry/healthcare/)[Telehealth](/templates/industry/telehealth/) [Physician](/templates/role/physician/)[Nurse](/templates/role/nurse/)[Physical Therapist](/templates/role/physical-therapist/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Occupational Therapist](/templates/role/occupational-therapist/)     About this free form template
Virtual occupational therapy assessments have become essential for providing accessible, patient-centered care—especially for clients managing mobility challenges, recovering from injury, or adapting to new physical or cognitive limitations. This **Virtual Occupational Therapy Assessment Form** gives occupational therapists a complete, structured intake tool designed specifically for telehealth consultations.

Built for OT practices, rehabilitation centers, home health agencies, and healthcare providers offering remote therapy services, this template collects detailed information about a patient's daily living activities, current challenges, adaptive equipment needs, home environment, and work-related goals. The form helps therapists understand functional limitations, prioritize interventions, and create personalized care plans—all before or during a virtual appointment.

The form includes sections for medical history, current medications, mobility and self-care assessments, home safety evaluations, adaptive equipment inventory, and return-to-work readiness. Conditional logic tailors follow-up questions based on patient responses, ensuring you capture relevant details without overwhelming clients with unnecessary fields.

Because every patient's needs are unique, this template is fully customizable. Add your practice branding, include consent and authorization sections, embed instructional videos, and adjust questions to match your specialty—whether you focus on pediatric OT, geriatric care, neurological rehabilitation, or workplace ergonomics.

**Streamline your virtual OT practice with Paperform**

Paperform makes it easy to collect comprehensive patient information in a secure, professional format. With built-in conditional logic, you can create dynamic assessment flows that adapt to each patient's situation. Integrate with your existing practice management software, CRM, or scheduling tools to keep patient records organized and accessible.

Need to automate follow-up workflows? Use **[Stepper](https://stepper.io)** to route completed assessments to the right therapist, send personalized care plan summaries, schedule follow-up appointments, or trigger reminders for equipment consultations—all without manual data entry.

Whether you're an independent OT practitioner, part of a multidisciplinary clinic, or managing a telehealth program, this template helps you deliver high-quality, evidence-based care remotely while maintaining thorough documentation and improving patient outcomes.
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