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Occupational Therapy Service

PREP provides a variety of Occupational Therapy (OT) programs and services to students identified with a disability across five school districts in our region:  Charlottesville City, Culpeper, Fluvanna, Louisa, Madison, Nelson, and Orange County Public School Districts.

What is Occupational Therapy?
School-based Occupational Therapy is designed to enhance the student's ability to fully access and be successful in the learning environment.  This might include working on handwriting, fine motor skills or use of technology to support the student's completion of written assignments or skills needed to function independently in the school environment. Therapists can work with students and/or teachers directly or on a consultative basis to modify the classroom and/or adapt learning materials so as to facilitate successful participation.

Who Delivers Occupational Therapy?
PREP employees 14 Occupational Therapists and 1 COTAs to work with teachers and students to employ various OT services.  

How does a student qualify to receive Occupational Therapy?
Occupational Therapy is a Related Service under Part B of the Individuals With Disabilities Education (IDEA) Act.  A Related Service is provided to help a student with an established primary disability to benefit from special education service.  Therefore, a student must be have been found eligible for special education services with a primary disability before being considered for OT service.  Eligibility for special education does not mean automatic eligibility for Occupational Therapy.

If Occupational Therapy is to be considered by the Individual Education Plan (IEP) team, a student is evaluated by an Occupational Therapist.  Occupational Therapy eligibility is determined by the team at an IEP meeting after the evaluation.  Once an IEP is developed specifying OT support, service can begin.

Occupational Therapy Resources:






Eight Tools for Kids with Dysgraphia:

Why Your Child Presses “too lightly” when writing:

A Review of Handwriting Development Apps:

Learning Without Tears Resources Page:

Teaching Left Handed Writing Handout:

When to “Fix” a pencil grasp:

 Sensory Strategies:   














Strategies you can try at home for sensory processing issues:

Sensory Smart Clothing Choices:

Incorporating Sensory Input into Daily Activities:

Sensory Processing Disorders Across the Lifespan: The Role of Occupational Therapy:

Sensory Processing Overview:

One Hundred Classroom Sensory Strategies: 

  Kindergarten  Readiness:




Eye Exercises for School Success:

Developmental  Progression Of Handwriting Skills: 





Self Care Developmental Checklist:

Magic Molly Shoe Tying video    

 Keyboarding Skills:









Free Online Typing Program includes instruction, practice games, and timed tests; tracks wpm and accuracy fun animated instruction for beginning typers 

Activities to Practice Mouse Skills Animated practice games for improving target accuracy  Puzzle games to practice click and drag

Shortcut Tools for Typing

Read & Write for Google and Co:Writer are extensions that can be downloaded and include: word prediction, text to speech, talk & type, dictionaries, language translation, etc how to download Read & Write for Google tutorial video for Read & Write for Google video tutorial and download for Co:Writer

 Fun Activities for Practice at Home:





Cutting Taco Game

Movement and Visual Perceptual Activity

Winter Snowflake Balance Beam Fun

Winter Icicle Scissors Skills

Fluffy Slime
2/3 Cup White Elmer's Glue
1 TSP Baking Soda
1/4 Cup Water
2-3 Cups Shaving Cream
1.5 TBSP Contact Lens Solution
Liquid Food Coloring

Add your white glue to a bowl.
Add your water and baking soda and then mix.
Add your shaving cream and mix. The more shaving cream you add, the fluffier it will be. You may need to add more contact lens solution if you make it with 3 cups.
Add your food coloring until you are satisfied with the color. Mix.
Now slowly add in your contact solution. We like to add in 1 tablespoon, knead for 5 minutes and then add in the 1/2 tablespoon after kneading for some time. The slime will be very sticky when you're kneading - and that's normal!
If you find it still too sticky - add some baby oil or lotion to your hands. You can also add in more contact lens solution if you still find it too sticky. Just a little bit at a time. We like to add an extra teaspoon at a time until it stops sticking. If you add too much the slime may become too hard and won't be as stretchy to play with.   Recipe from:

 Other Categories  or       Excellent Websites:



A website with information, resources and products available for all things OT, including sensory, fine motor, handwriting and more.

A site that makes recommendations for resources for use by parents, teachers and new OT practitioners.

A website designed to offer ideas/activities especially to boost the skills that children need at school.

A fact  sheet from the American Occupational Therapy Association that details the scope of OT practice in the public school setting.

A website that can be used to search the best learning games and apps for children.

A link to downloads for free visual schedules for parents to use at home.

A nice suggestion list of movement activities to facilitate crossing midline, bilateral coordination and laterality.