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OT Evaluation Report Template Editable Autism ADHD Outpatient Pediatric New Grads Fieldwork

Item highlights

  • Digital download
  • Digital file type(s): 2 Files

Seller's description

Stop writing evaluation reports from scratch. This editable evaluation report template was built specifically for outpatient and clinic-based pediatric OTs. Every section is pre-structured with fill-in fields, and each standardized assessment comes with a narrative stem so you know exactly how to write up your scores in professional, plain-language report format.

Open the Word document, type directly into the fields, save, and you have a complete evaluation report. No formatting headaches. No starting from a blank page.

✦ WHAT YOU GET

2 editable Word documents (.docx), instant download:

1. Outpatient Pediatric OT Evaluation Report Template. A comprehensive, fully structured evaluation report template covering all sections of a clinic-based pediatric OT assessment.
2. Completed Example Report (fictional client). A fully completed example report showing you exactly how every section of the template looks when finished. Clearly marked as fictional throughout. See how narrative stems are used in context before writing your own.

✦ WHAT THE TEMPLATE COVERS
Section 1: Client and Referral Information
Section 2: Occupational Profile — background, ADLs, school, leisure, sleep
Section 3: Standardized Assessment Result Tables for:
- Beery VMI (VMI, Visual Perception, Motor Coordination subtests)
- Sensory Profile 2 (all 4 quadrants, all 9 sections)
- BOT-2 (8 subtests, 5 composites)
- COPM (Importance, Performance, and Satisfaction scores)
Section 4: Observational Assessment: fine motor, handwriting, sensory, gross motor, informal vision screen, ADLs, social participation
Section 5: Summary of Findings and Clinical Impressions
Section 6: Recommendations and Proposed Goals (includes 5-goal SMART table)
Section 7: Optional Service Quote with fee estimate table
Section 8: Signatures and Consent
PLUS: Narrative stems for every standardized assessment. Fill in the brackets, delete the stem box, and your written interpretation is done.

✦ WHO THIS IS FOR
- Outpatient and clinic-based pediatric OTs
- OTs in private practice
- New graduate OTs learning evaluation report writing
- OT fieldwork students on placement
- Busy clinicians who want a consistent, professional report format

✦ HOW IT WORKS
Both files are editable Word documents. Open in Microsoft Word or upload to Google Drive and convert to a Google Doc to type directly into all fields. No special software needed.

This is not a fillable PDF. It is an editable Word document designed to be typed into and saved.

✦ FILE DETAILS
- Format: 2 editable Word documents (.docx), instant download
- Template: 7 sections, 23 pages
- Example report: fully completed fictional client, clearly marked
- Assessments covered: Beery VMI, Sensory Profile 2, BOT-2, COPM
- Setting: outpatient and clinic-based pediatric OT

📥 Instant digital download — available immediately after purchase.

Busy Bee OT creates evidence-informed resources grounded in occupational therapy principles, practical clinical tools designed to support professional, efficient documentation.

View more

Item review

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“Easy to customize and use for my private clients”

Etsy buyer

19 days ago

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Price:$22.42

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Reviews for this item

5.0

We calculate this number using a recency-weighted average of all ratings, with a rating's value decreasing by half each year to best reflect the current experience.

(1 reviews)

5.0 Item quality
5.0 Shipping
5.0 Customer service
100% Buyers recommend
5 out of 5 stars 5 This item

Etsy buyer Oct 11, 2026

Easy to customize and use for my private clients

Etsy buyer Oct 11, 2026

Response from Ally

Thanks so much for the kind review! We are so glad it’s been useful 🐝

Seller's description

Specifications

May include: A teal background with two white Pediatric OT Evaluation Report Template documents. The top document reads "Designed by a Pediatric OT" and "Outpatient & Clinic-Based". The bottom document is titled "Outpatient Pediatric Occupational Therapy Evaluation Report Template".

Stop writing evaluation reports from scratch. This editable evaluation report template was built specifically for outpatient and clinic-based pediatric OTs. Every section is pre-structured with fill-in fields, and each standardized assessment comes with a narrative stem so you know exactly how to write up your scores in professional, plain-language report format.

Open the Word document, type directly into the fields, save, and you have a complete evaluation report. No formatting headaches. No starting from a blank page.

✦ WHAT YOU GET

2 editable Word documents (.docx), instant download:

1. Outpatient Pediatric OT Evaluation Report Template. A comprehensive, fully structured evaluation report template covering all sections of a clinic-based pediatric OT assessment.
2. Completed Example Report (fictional client). A fully completed example report showing you exactly how every section of the template looks when finished. Clearly marked as fictional throughout. See how narrative stems are used in context before writing your own.

✦ WHAT THE TEMPLATE COVERS
Section 1: Client and Referral Information
Section 2: Occupational Profile — background, ADLs, school, leisure, sleep
Section 3: Standardized Assessment Result Tables for:
- Beery VMI (VMI, Visual Perception, Motor Coordination subtests)
- Sensory Profile 2 (all 4 quadrants, all 9 sections)
- BOT-2 (8 subtests, 5 composites)
- COPM (Importance, Performance, and Satisfaction scores)
Section 4: Observational Assessment: fine motor, handwriting, sensory, gross motor, informal vision screen, ADLs, social participation
Section 5: Summary of Findings and Clinical Impressions
Section 6: Recommendations and Proposed Goals (includes 5-goal SMART table)
Section 7: Optional Service Quote with fee estimate table
Section 8: Signatures and Consent
PLUS: Narrative stems for every standardized assessment. Fill in the brackets, delete the stem box, and your written interpretation is done.

✦ WHO THIS IS FOR
- Outpatient and clinic-based pediatric OTs
- OTs in private practice
- New graduate OTs learning evaluation report writing
- OT fieldwork students on placement
- Busy clinicians who want a consistent, professional report format

✦ HOW IT WORKS
Both files are editable Word documents. Open in Microsoft Word or upload to Google Drive and convert to a Google Doc to type directly into all fields. No special software needed.

This is not a fillable PDF. It is an editable Word document designed to be typed into and saved.

✦ FILE DETAILS
- Format: 2 editable Word documents (.docx), instant download
- Template: 7 sections, 23 pages
- Example report: fully completed fictional client, clearly marked
- Assessments covered: Beery VMI, Sensory Profile 2, BOT-2, COPM
- Setting: outpatient and clinic-based pediatric OT

📥 Instant digital download — available immediately after purchase.

Busy Bee OT creates evidence-informed resources grounded in occupational therapy principles, practical clinical tools designed to support professional, efficient documentation.

  • Designed by
  • Item type
    Digital download
  • Digital file type(s)
    2 Files
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Listed on Aug 17, 2026