What happens at my child’s first OT appointment?

What to expect in detail

When you arrive, the OT will spend 15–20 minutes talking with you about your child's background. They'll ask about their birth history, developmental milestones (sitting, walking, talking), how they manage self-care tasks like eating and dressing, play interests, and any specific concerns you have. Be honest about what's working well and what's challenging—this helps the OT understand your child's full picture.

Next, the OT will observe your child playing and moving around the clinic. This is informal and play-based; your child doesn't sit at a desk doing tests. The OT watches how they use their hands, balance, coordinate movements, interact with toys, and respond to instructions. Younger children (under 5) are usually assessed entirely through play. Older children may do some structured activities alongside play.

The OT may also ask your child to do simple tasks—like drawing, stacking blocks, or jumping—to see how they manage fine motor skills (hands and fingers), gross motor skills (whole body movement), coordination, and sensory responses. They're looking for what your child can do, not just what they struggle with.

Towards the end, the OT will discuss what they've observed and talk with you about goals. These might be things like improving grip strength for writing, managing transitions at school, or developing independence with dressing. Goals are practical and family-focused—not clinical jargon.

Before you leave, the OT will explain whether your child needs ongoing therapy and how often. They'll also discuss how therapy is funded: through Medicare (via referral from your GP), NDIS (if your child is eligible), private health insurance, or out-of-pocket payment. In 2025–26, NDIS funding for OT ranges from $150–$250 per hour depending on your child's plan and location.

Bring any reports from your child's school, GP, or other health professionals. Wear comfortable clothes so your child can move freely. If your child has a comfort item (toy, blanket), bring it along.

If you're unsure whether OT is right for your child, ask your GP or paediatrician for a referral. All OTs in Australia are registered with AHPRA (Australian Health Practitioner Regulation Agency) and follow the same professional standards.