What is the difference between an OT report and an assessment?

When you book your child in for occupational therapy, the first appointment is almost always an assessment. During this time, the OT will ask detailed questions about your child's development, daily routines, and any concerns. They'll watch your child play, move, eat, write, or complete everyday tasks depending on what you're seeking help with. They may use standardised tests or checklists to measure things like fine motor skills, sensory processing, coordination, or self-care abilities. This is a two-way conversation—you're providing context, and the OT is gathering the full picture.

The report that follows is a formal record. It includes what the OT observed, test results, analysis of what these findings mean for your child, and specific recommendations for home, school, or further intervention. This report is essential for several reasons: it documents your child's needs for school planning meetings, it supports NDIS applications (if eligible), it can be used for Medicare rebates through a GP referral, and it provides a baseline to measure progress over time.

Costs vary by setting. Private OT assessments typically range from $200–$400 depending on your state and the OT's experience. If your child has an NDIS plan, assessment costs may be covered under your funding (check your plan). Through Medicare, you'll need a GP referral to access rebates via the Enhanced Primary Care (EPC) scheme, which covers up to 5 allied health sessions per year. Some community health services offer subsidised or free assessments depending on eligibility.

After the assessment and report, your OT will recommend next steps—this might be regular therapy sessions, strategies to practise at home, or referral to another professional like a speech pathologist or physiotherapist. Always ask for a copy of the report; you'll need it for school, NDIS planning, or if you seek a second opinion. If you're unsure whether your child needs an assessment, start by discussing concerns with your GP or paediatrician.