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Children with complex needs

Occupational therapy for children with complex or multiple needs can lead to improvements in independence, communication, quality of life and safety.

Our OTs ensure that the recommendations we make are practical and achievable for each family. Whether we are looking at splinting, environmental controls, comfy seating, adapted vehicles, housing or moving & handling, our team aim to promote independence in all areas of daily life.

How OT's help

Children and families with complex needs are rarely strangers to the world of assessments and advice. We aim to work alongside existing support services to ensure a holistic and rounded approach for the family. Whether a child is refered to us through a case manager, LEA, school, or a parent directly, our service is uniquely tailored to the needs of each family.

Some of the most common areas in which we assist children with complex needs include:

  • Night-time positioning, comfy chairs and wheelchairs
  • Splinting
  • Sensory programmes
  • Moving & handling
  • Bathing equipment
  • Adapted vehicles
  • Housing adaptations and reviews

Our assessment process allows for a specialist occupational therapist to identify where a child's difficulties lie as well as the reasons for them. Once identified, we can work with you to put in place a plan to address them.

Our packages of care

We are flexible around the needs of each child and family, and have a variety of treatment packages to ensure we provide the right solution for you. All of our interventions are oriented towards ensuring that the child experiences measurable improvements.

  • Our assessment package is a stand-alone service that allows us to identify all the areas we can assist with
  • Our subsequent report will explain these in detail and provide a clear costing for each recommendation
  • At this stage, some case managers or families will already be able to move forward independently
  • Where a child is moving from another practice and their last OT report was completed within the previous 6 months, a shorter review normally allows us to build on previous interventions
  • We also arrange quotations for home adaptations such as bathroom, sensory room or access adjustments
  • Recommended equipment such as chairs, environmental controls or hoists can be given the necessary trials, as well as quotations for your approval
  • We normally provide treatment in blocks of eight sessions to deliver sensory programmes or to work on other identified areas

How we help

Our assessments can examine all areas of a child's daily life, or focus on a specific area of concern.

Some of the most common areas we would expect to address include:

  • The current home environment and its suitability for their current and future needs
  • Moving & handling concerns of carers and family, such as how the child can best be helped to move between their bed, shower or wheelchair
  • Postural positioning during the day and at night
  • Access to hobbies and social activities
  • Sensory needs and communication
  • The needs and goals of the child, their family and carers

Case managers, LEA's or Solicitors

Is your organisation looking for professional OT services?

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Why The OT Practice

We recognise the importance for parents and professionals of knowing that their child or client are in safe hands. That is why, when you first make contact with us, you will straightaway be able to explain your concerns to a member of our client management team who will be able to provide relevant information about our services, answer any questions you may have and provide guidance on next steps. This dedicated paediatric team will then remain in charge of your case through any subsequent assessment and treatment we provide.

Other reasons to rely on The OT Practice include:

  • We visit at a time convenient for you, with no clinics or waiting lists, offering after-school and weekend appointments where necessary
  • We devise home and school-based treatment plans to ensure that our assessment and advice is relevant to each child’s unique environment
  • Our nationwide network of registered children’s occupational therapists allows us to find a therapist local to you that best suits the needs of the child
  • Intensive treatment available in the school holidays
  • We believe our role is to equip you and your child to become as autonomous as possible – ultimately independent of, and not dependent upon, the help we provide

Services for businesses, organisations and the public sector

Case managers

Providing OT to families & children with complex or multiple needs to achieve optimum independence.

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Local education authorities

Occupational therapy provision at home or school as recommended in an EHCP or Statement on behalf of LEA's.

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Schools

Delivering individual or group therapy for children, or advice and training to up-skill members of staff.

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Charities

Working with charities to provide reports and recommendations for grant funding applications.

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Solicitors

We provide solicitors with professional reports for educational tribunals or rehabilitation needs.

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Healthcare concierge

Assessment and treatment services for clients in their own homes both in the UK and internationally.

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Next steps

Initial enquiry

During your initial call to us you can discuss your concerns with a member of our paediatric client management team, who will be able to understand what your child's difficulties are, provide information and advice on our services and identify the right OT from our team.

Quote

If therapist input is recommended, we will send you a detailed quote via email or in writing explaining what, after a full assessment, we propose and how much it would cost, as well as rates for further work that might be recommended in the future.

Referral

Once you have had time to consider the options and costs, and if you would like to go ahead, the next step would be to fill in our online referral form. In the meantime, if you have further concerns or questions then our client manager will be happy to discuss them with you.

Assessment

Our therapist will then contact you within 24 hours to arrange an assessment visit at home or school, a mixture of formal and observational methods - as well as conversation with yourself, your child and their school - after which you will receive a comprehensive written report.

Advice

The report will include a clear record of our findings and recommendations, together with practical advice on how to help your child. Where additional involvement is required, we will follow up the report with a detailed quotation so that you have all the information needed to make an informed decision.

As Private Occupational Therapists our aim is to provide choices and guidance to help you decide what the best options are for you

Hannah

Birmingham, Worcestershire

Hannah is an experienced children's Occupational Therapist based in the West Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, Staffordshire, Warwickshire, West Midlands, Worcestershire, Birmingham, Coventry

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Lisa

Derby, Derbyshire

Lisa works across the UK with adults and children with complex needs, supporting them to live as independently as possible.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, East Midlands, East Anglia, London, Ireland, Derbyshire

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management, Moving and Handling

Liz

West Midlands, South East of England

Liz is a highly regarded Occupational Therapist working with children in Buckinghamshire, Bedfordshire, Hertfordshire, West Midlands and London.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, London, South East of England, Bedfordshire, Berkshire, Buckinghamshire, Hampshire, Hertfordshire, Leicestershire, Northamptonshire, Oxfordshire, Warwickshire, West Midlands

Specialisms

Paediatrics

Specialist skills

DFG Assessments, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Postural management, School Based Therapy/Support, Learning disability

Janet

Kent, South East of England

Janet is an expert Occupational Therapist specialising in paediatrics and neurological rehabilitation, she works with children at home and school.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Kent, London - Central, London - South, London - East

Specialisms

Paediatrics, Neurological rehabilitation

Further qualifications

Therapeutic listening

Specialist skills

Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, Social integration, School Based Therapy/Support, Learning disability

Katy

Durham, North East England

Katy is a Paediatric OT based in Chester-Le-Street, County Durham, experienced helping with a variety of physical and sensory needs.

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Profession

Occupational Therapy

Regions covered

North East England, Cleveland, Durham, Northumberland, Tyne and Wear

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Chailey Postural Management, The Listening Programme

Specialist skills

DFG Assessments, Daily living skills, Sensory integration, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, School Based Therapy/Support

Kirsty

Glasgow, Scotland

An expert occupational therapist, Kirsty works with children with a range of conditions in West Scotland in their own environments.

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Profession

Occupational Therapy

Regions covered

Scotland, Glasgow (City of), Glasgow

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management, Functional rehabilitation

Specialist skills

Counselling

Alison

Coventry, West Midlands

Based in Coventry, Alison has been a Paediatric OT for over 10 years, specialising in fine motor skills and handwriting.

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Profession

Occupational Therapy

Regions covered

West Midlands, Leicestershire, Northamptonshire, Oxfordshire, West Midlands, Worcestershire, Coventry

Specialisms

Paediatrics

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, Postural management, School Based Therapy/Support

Catriona

London - South, London

Based in London Catriona is an expert Occupational Therapist, working with children with a range of conditions.

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Profession

Occupational Therapy

Regions covered

London, South East of England , London - South

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Chailey Postural Management

Specialist skills

Fatigue management, Pain management, Daily living skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, Postural management, School Based Therapy/Support, Anxiety management & relaxation

Joanne

Birmingham, Worcestershire

Joanne assesses and treats children in the West Midlands with a range of conditions, helping them achieve their maximum ability.

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Profession

Occupational Therapy

Regions covered

West Midlands, Derbyshire, Gloucestershire, Herefordshire, Shropshire, Staffordshire, Warwickshire, West Midlands, Worcestershire

Specialisms

Paediatrics

Specialist skills

Fatigue management, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Catherine

London - West, Buckinghamshire

An expert in Paediatric care and sensory integration, Catherine works with children & their families in Central and West London.

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Profession

Occupational Therapy

Regions covered

London, Buckinghamshire, London - Central, London - West

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Balance, Co-ordination, Self care, Postural management

Jonathan

Birmingham, Warwickshire

Jonathan is an expert Children's OT who specialises in complex and long term conditions, working with children and their families.

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Profession

Occupational Therapy

Regions covered

West Midlands, Gloucestershire, Herefordshire, Oxfordshire, Warwickshire, London - West, Birmingham, Coventry, Wolverhampton

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management, Moving and Handling

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments, Daily living skills, Self care, Postural management

Carien

Dumfries and Galloway, Scotland

Based in Scotland, Carien provides expert paediatric therapy helping children with handwriting, sensory and complex physical needs.

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Profession

Occupational Therapy

Regions covered

Scotland, Cumbria, Borders, Dumfries and Galloway, East Ayrshire, East Lothian, East Renfrewshire, Edinburgh (City of), Fife, Glasgow (City of), Midlothian, North Ayrshire, North Lanarkshire, Perthshire and Kinross, Renfrewshire, South Ayrshire, South Lanarkshire, West Lothian, Glasgow, Edinburgh

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Social integration

Zandri

London

Based in London, Zandri is a Paediatric OT specialising in Sensory Integration, providing support for children at home and school.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Paediatrics

Further qualifications

Sensory Integration, The Listening Programme

Specialist skills

Sensory integration, Fine motor skills, Visual perception, School Based Therapy/Support

Paula

London - South, London

Paula is a highly skilled and long term experienced clinical Occupational Therapist working with Children in the London area.

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Profession

Occupational Therapy

Regions covered

London, South East of England , London - Central, London - South, London - East

Specialisms

Paediatrics

Further qualifications

Sensory Integration, AMPS

Specialist skills

Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Self care, School Based Therapy/Support, Learning disability

Anthea

Worcestershire, West and South West of England

Anthea is a highly regarded Occupational Therapist working with adults and children covering Gloucestershire, Oxfordshire, Berkshire, Somerset, Worcestershire and Warwickshire.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Berkshire, Herefordshire, Oxfordshire, Somerset, Warwickshire, Wiltshire, Worcestershire

Specialisms

Paediatrics, Vocational Rehabilitation

Further qualifications

Sensory Integration, Therapeutic listening, Certificate in Education

Specialist skills

Fatigue management, Motivational issues, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Social integration, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Karin

Rutland, East Midlands

Working as a paediatric occupational therapist in the East Midlands, Karin assesses and treats children at home, school and nursery.

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Profession

Occupational Therapy

Regions covered

East Midlands, Cambridgeshire, Northamptonshire, Rutland

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Fine motor skills, Visual perception, Postural management, DMO (Lycra) Splinting, School Based Therapy/Support

Debbie

Middlesex, London

Debbie is an expert speech and language therapist, delivering specialist assessments and treatment to children at home, school and nursery.

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Profession

Speech and Language Therapy

Regions covered

East Anglia, London, Hertfordshire, Middlesex, London - Central, London - North

Specialisms

Paediatrics

Specialist skills

School Based Therapy/Support

Ganga

West Sussex, South East of England

Qualifying in 2008, Ganga specialises in rehabilitation for adults and children. She visits clients at home.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent, Surrey, West Sussex, London - South, London - East, Brighton

Specialisms

Paediatrics, Neurological rehabilitation

Specialist skills

Routine planning, Daily living skills, Fine motor skills, Handwriting assessment & treatment, Self care, Social integration

Lynn

Rutland, East Midlands

An expert paediatric Occupational Therapist, Lynn works with children in the East Midlands and Lincolnshire with Sensory Processing needs.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Leicestershire, Lincolnshire, Northamptonshire, Rutland

Specialisms

Paediatrics

Further qualifications

Sensory Integration, AMPS

Specialist skills

Motivational interviewing, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, School Based Therapy/Support

Joanne

Surrey, South East of England

Based in Surrey, Joanne is an expert paediatric occupational therapist, treating children at home, in school or at nursery.

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Profession

Occupational Therapy

Regions covered

London, South of England, South East of England, Surrey, London - Central, London - South, London - West

Specialisms

Paediatrics, Seating and Postural management

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, DMO (Lycra) Splinting, School Based Therapy/Support

Claire

Hertfordshire, East Anglia

Trained in advanced handwriting and sensory integration techniques, Claire helps families by treating children at home, school and nursery.

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Profession

Occupational Therapy

Regions covered

East Anglia, South East of England, Buckinghamshire, Essex, Hertfordshire, London - Central, London - North

Specialisms

Paediatrics, Vocational Rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Counselling, Routine planning, Daily living skills, Sensory integration, Fine motor skills, Behaviour management, Handwriting assessment & treatment

Kelly

Kent, South East of England

Kelly is a highly regarded Occupational Therapist who works with both children and adults. Kelly covers the Kent area.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Further qualifications

AMPS

Specialist skills

DFG Assessments, Daily living skills, Self care, Postural management, Learning disability

Rachel

Hertfordshire, East Anglia

Based in Hertfordshire, Rachel delivers specialist rehabilitation assessments to children and adults at home or work.

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Profession

Occupational Therapy

Regions covered

London, South of England, South East of England, Bedfordshire, Buckinghamshire, Cambridgeshire, Essex, Hertfordshire, London - Central, London - North

Specialisms

Paediatrics, Vocational Rehabilitation

Further qualifications

Sensory Integration, AMPS

Specialist skills

Sensory integration, Behaviour management, Handwriting assessment & treatment, School Based Therapy/Support

Carmen

Hampshire, South East of England

Trained in advanced sensory integration techniques and therapeutic listening, Carmen treats children at home and in school.

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Profession

Occupational Therapy

Regions covered

West and South West of England, South of England, South East of England, Berkshire, Dorset, Hampshire, Oxfordshire, Wiltshire, London - South

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Therapeutic listening

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, School Based Therapy/Support, Sensory attachment intervention

Angela

Cleveland, North East England

Working in North-East England, Angela is a specialist paediatric OT, visiting children in Newcastle, Middlesbrough, Sunderland, and Tyne and Wear.

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Profession

Occupational Therapy

Regions covered

North East England, Cleveland

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Postural management, School Based Therapy/Support

Eve

Sheffield, South Yorkshire

Eve is a highly experienced Occupational Therapist working with children in the Yorkshire, Lincolnshire and Derbyshire areas.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, Derbyshire, South Yorkshire, Sheffield

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Sam

London

Based in London, Sam is an expert paediatric speech and language therapist who treats children at home and in school.

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Profession

Speech and Language Therapy

Regions covered

London , London - Central, London - North, London - West

Specialisms

Paediatrics

Specialist skills

Behaviour management, School Based Therapy/Support, Dysphagia management, Makaton

Lucy

Cambridgeshire, East Anglia

Qualifying in 1999, Lucy specialises in seating & postural management, rehabilitation and housing & equipment for adults.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Hertfordshire, Norfolk, Northamptonshire, Suffolk

Specialisms

Paediatrics, Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation

Further qualifications

AMPS, Train the trainer

Specialist skills

Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Behaviour management, Co-ordination, Self care, Social integration

Helen

London - North, Hertfordshire

Working with children at home and school, Helen provides expert occupational therapy in North London, Bedfordshire, Buckinghamshire and Essex.

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Profession

Occupational Therapy

Regions covered

London, South of England, Hertfordshire, London - North

Specialisms

Paediatrics, Seating and Postural management

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care

Samantha

Hertfordshire, East Anglia

Samantha is an expert occupational therapist, delivering specialist seating, hand therapy, neurological and functional rehabilitation assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Bedfordshire, Buckinghamshire, Essex, Hertfordshire, London - Central, London - North

Specialisms

Paediatrics, Hand Therapy, Housing and Equipment, Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills

Client feedback

Further reading

Our news & press

Presenting Paediatric Clinical Team Lead- Lynn

Lynn is our Paediatric Clinical Team Lead, she has been bought on board at The OT Practice to add leadership, specialist training and mentoring to our nationwide OT's. Read this interview to find our more about her and the vision she has for the role.

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Our news & press

The OT Practice delighted to exhibit at Kidz to Adultz South

A great day for The OT Practice as we exhibit at the Kidz to Adultz South show. The exhibition is a great event showcasing products and services for children & young adults with disabilities and additional needs.

Read more