Occupational Therapy Licensing Board

Any person who is licensed in Oregon as an occupational therapy assistant is required to file a statement of supervision form with the OT Licensing Board.  It must be signed by your OT supervisor. 
 
You can mail in the form, scan and email, or fax it in at 971-673-0226.  We will record your supervisor in the database and send you a confirmation email.  If you don't receive the confirmation email, assume that we did not receive it and re-send.
 
 
Here is the rule:
 
OAR 339-010-0035(2) requires a signed Statement of Supervision Form

(1) Any person who is licensed as an occupational therapy assistant may assist in the practice of occupational therapy only under the supervision of a licensed occupational therapist.
(2) Before an occupational therapy assistant assists in the practice of occupational therapy, he/she must file with the Board a signed, current statement of supervision of the licensed occupational therapist who will supervise the occupational therapy assistant.
(3) An occupational therapy assistant always requires at least general supervision.
(4) The supervising occupational therapist shall provide closer supervision where professionally appropriate.
(5) The supervisor, in collaboration with the supervisee, is responsible for setting and evaluating the standard of work performed.
 
The definition of “general supervision” is found in OAR 339-010-0005: 

(1) "Supervision," is a process in which two or more people participate in a joint effort to promote, establish, maintain and/or evaluate a level of performance. The occupational therapist is responsible for the practice outcomes and documentation to accomplish the goals and objectives. Levels of supervision:

(a) "Close supervision" requires daily, direct contact in person at the work site;

(b) "Routine supervision" requires the supervisor to have direct contact in person at least every two weeks at the work site or via telehealth as defined in OAR 339-010-0006(9) with interim supervision occurring by other methods, such as telephone or written communication;

(c) "General supervision" requires the supervisor to have at least monthly direct contact in person with the supervisee at the work site or via telehealth as defined in OAR 339-010-0006(9) with supervision available as needed by other methods. 



 
 
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AOTA's Guidelines for Supervision, Roles, and Responsibilities During the Delivery of Occupational Therapy Services have been adopted the Oregon OT Licensing Board.
A signed "Statement of Supervision" must be filed in the OTLB office prior to working under Limited Permits.  It can be faxed to 971-673-0226 or scanned and emailed.  See Application Forms section for more information regarding obtaining a Limited Permit.
 
 
Oregon laws on Limited Permit holders  
 
675.320 Powers of board; fees; rules. The Occupational Therapy Licensing Board shall have the following powers in addition to powers otherwise granted under ORS 675.210 to 675.340 or necessary to carry out the provisions of ORS 675.210 to 675.340:
     
(11) To establish minimum requirements for limited permit to be complied with by all applicants prior to issuance of limited permit. A limited permit shall be issued to a person at the discretion of the board upon application and payment of a permit fee of $25.
    
339-010-0040 Limited Permit  (1) Students who have successfully completed the educational and field work requirements and students who receive their eligibility to take the NBCOT certification examination, but do not yet have their test results, may apply for a limited permit to practice occupational therapy under at least routine supervision (as defined in OAR 339-010-0005(1)(b)) of an Oregon licensed occupational therapist. …
(4) An Oregon licensed occupational therapist must sign the limited permit application verifying a supervisory role to the applicant.
(5) A limited permit may not be issued to applicants who have taken and failed the certification examination, and limited permits may not be renewed.
(6) A person who fails the exam must immediately surrender the limited permit upon receipt of examination scores.
(7) The Board may grant an extension of a limited permit to persons who, because of extenuating circumstances, are unable to take the scheduled certification examination. Request must be made in writing.
 
Supervision under OAR 339-010-0005(1)(b) : 

(1) "Supervision," is a process in which two or more people participate in a joint effort to promote, establish, maintain and/or evaluate a level of performance. The occupational therapist is responsible for the practice outcomes and documentation to accomplish the goals and objectives. Levels of supervision:

(a) "Close supervision" requires daily, direct contact in person at the work site;

(b) "Routine supervision" requires the supervisor to have direct contact in person at least every two weeks at the work site or via telehealth as defined in OAR 339-010-0006(9) with interim supervision occurring by other methods, such as telephone or written communication;

(c) "General supervision" requires the supervisor to have at least monthly direct contact in person with the supervisee at the work site or via telehealth as defined in OAR 339-010-0006(9) with supervision available as needed by other methods. 

 
From the AOTA Supervision guidelines: 
 
1. Purpose:  The purpose of this Model State Regulation for Supervision, Roles, and Responsibilities During the Delivery of Occupational Therapy Services is to provide a template for use by state agencies and occupational therapy regulatory boards when drafting or revising regulations to govern the clinical supervision of occupational therapy assistants, limited permit holders, and aides. The model is intended to help safeguard the public health, safety and welfare by establishing guidelines that are consistent with professional standards and accepted practice in the profession. . . .
2. Definitions  A.  In this section, the following terms have the meanings indicated.
(1)          Board” means the Oregon Occupational Therapy Licensing Board.
(2)         Competence” refers to an individual’s capacity to perform job responsibilities.
(3)         Competency” refers to an individual’s actual performance in a specific situation.
(4)         Limited permit holder” means an individual who has completed the academic and fieldwork requirements of this Act for occupational therapists or occupational therapy assistants, has not yet taken or received the results of the entry-level certification examination, and has applied for and been granted limited permit status.
(5)         "Occupational therapist" means an occupational therapist who is licensed by the Board.
(7) "Occupational therapy assistant" means an occupational therapy assistant who is licensed by the Board to provide occupational therapy services under the supervision of and in partnership with a licensed occupational therapist.
(8) "Supervision” means a cooperative process in which two or more people participate in a joint effort to establish, maintain, and/or elevate a level of competence and performance. Within the scope of occupational therapy practice, supervision is aimed at ensuring the safe and effective delivery of occupational therapy services and fostering professional competence and development.
 
 
5. Supervision of a Limited Permit Holder
A.  An occupational therapist limited permit holder or occupational therapy assistant limited permit holder who has not yet taken or received the results of the entry-level certification examination shall practice under the supervision of an occupational therapist.  It is the responsibility of the supervising occupational therapist to provide and the limited permit holder to seek the appropriate quality and frequency of supervision to ensure safe and effective occupational therapy service delivery.
 

Rules on Supervision of Occupational Therapy Aides

 

339-010-0055

Occupational Therapy Aides Tasks

(1) An "aide" is a person who provides support services to an occupational therapist and occupational therapy assistant, but is not licensed by the Occupational Therapy Licensing Board. Any aide who is working with or supporting patients, and is performing activities covered under the occupational therapy plan of treatment, is considered an occupational therapy aide. The occupational therapy practitioner is responsible for the overall use and actions of the aide, and must ensure the competency of the aide performing the assigned tasks.

(2) An occupational therapist or occupational therapy assistant may supervise the aide. When the aide is performing treatment related tasks, the supervising occupational therapy practitioner must be within sight or earshot of the aide, and must be immediately available at all times to provide in-person direction, assistance, advice, or instruction to the aide.

(3) Treatment related tasks that the aide may assist with under the direct supervision of the occupational therapy practitioner include:

(a) Routine transfers;

(b) Routine care of patient's personal needs during the course of treatment;

(c) Execution of a well-established routine activity and/or exercise;

(d) Assisting the occupational therapy practitioner as directed during the course of treatment.

(4) Non-treatment related tasks that may be performed by the occupational therapy aide include:

(a) Clerical;

(b) Secretarial;

(c) Housekeeping;

(d) Supply ordering;

(e) Equipment maintenance;

(f) Fabrication of generic strapping material for splints;

(g) Transporting patients;

(h) Preparation of the work area or equipment.

(5) An aide does not provide skilled occupational therapy services in any practice setting. These rules do not apply to school aides and occupational therapists working in school settings. The rules on aides in the education setting are found in OAR 339-010-0050.

 

​Fieldwork Students must have supervision.  In Oregon, Pacific University, School of OT has a fieldwork Co-coordinator.  Generally questions should go there first.  The OT Licensing Board does get some questions on supervision, and often those questions come to the board because the question really deals with co-signing notes for reimbursement.  Those questions deal with Medicare/Medicaid issues.
 
For information about fieldwork supervision please refer to the school through which you are doing your fieldwork, and the AOTA guidelines.  They are found at: www.aota.org.
 
For some specific information you can click on the link you want below: 
 
Guide lines for level II Field Work for OT students. for more on AOTA Guidelines for student fieldwork or for information on Medicare Reimbursement for Students Issues.