Can I see an OT without a referral?

DETAILED EXPLANATION

In Australia, whether you need a referral depends on how you're paying and accessing occupational therapy (OT) for your child.

Private OT without a referral You can contact a private occupational therapist directly and book an appointment without a GP referral. This gives you flexibility to start therapy quickly. Costs are out-of-pocket, ranging from $80–$200+ per session depending on the therapist's experience, location, and whether they offer telehealth. Some private practitioners offer initial consultations or reduced-cost assessments.

Medicare rebates (requires referral) If you want Medicare to contribute towards costs, your child needs a referral from a GP or paediatrician. Your GP can refer your child to an OT under the Enhanced Primary Care (EPC) scheme or Chronic Disease Management plan, which typically covers 10 sessions per calendar year with a Medicare rebate of around $53–$76 per session (gap fees may apply).

NDIS funding (usually requires referral) If your child is NDIS-eligible, accessing OT through the scheme typically requires documentation from your GP, paediatrician, or psychologist outlining your child's support needs. The 2025–26 NDIS pricing for occupational therapy is $89–$119 per hour depending on your state and whether the therapist is NDIS-registered. Your NDIS planner will discuss OT as part of your plan.

School-based OT Some schools offer OT services through their support programs at no cost to families. Ask your child's school about availability.

What to do next If cost is a concern, start with your GP to discuss a referral for Medicare-subsidised sessions. If you want to begin privately while waiting for a referral, contact local OTs directly. Check that any therapist is registered with AHPRA (Occupational Therapy Australia can help you find registered practitioners).

Common questions Do I need a diagnosis first? No—your GP or OT can assess your child's needs without a formal diagnosis. However, if you're concerned about developmental delays or specific conditions, your GP or paediatrician should evaluate this first.

How long are waiting lists? This varies by location and whether you're accessing private, Medicare-subsidised, or NDIS services. Private practitioners may have shorter waits; public and NDIS services may have longer delays depending on demand in your area.