Advanced Practice
Business and Professions Code (BPC) Section 2570.3 requires  occupational therapists offering services in hand therapy and swallowing  assessment, evaluation, or intervention, or using physical agent modalities, to  demonstrate to the Board, through additional education and training hours, that  they are competent to do so.
                  Approval in an advanced practice area demonstrates that you have  met the minimum qualifications in the area approved. Approval does not  represent expertise in this area and should not be misrepresented as such.  Pursuant to Title 16, California Code of Regulations, Section 4170(f)(1) of the  Ethical Standards of Practice, occupational therapists are required to accurately  represent their credentials, qualifications, education, experience, training,  and competency. Further, Section 4170(d) states that occupational therapists  shall perform services only when they are qualified by education, training, and  experience to do so.
                  Your advanced practice application will be evaluated for  compliance with the requirements specified la and applicable regulations. You  will be notified if additional information is needed. You can also verify your  advanced practice approval through the "License  Verification" link on the Board's web site. There is no application fee  or additional renewal fee at the time of license renewal. There are no  additional continuing competency requirements associated with advanced practice  approval.
                  Occupational therapists in the process of completing the  requisite education and training may provide advanced practice services,  however, it must be under the supervision of an occupational  therapist approved by the Board in the advanced practice area, a physical  therapist (for hand therapy and/or physical agent modalities), a speech  language pathologist (for swallowing assessment, evaluation, and intervention),  or a physician and surgeon.
                  Further, the supervisor and occupational therapist must have  a written agreement outlining the plan of supervision and training in the  advanced practice area. The level of supervision is determined by the supervisor  whose responsibility it is to ensure that the amount, degree, and pattern of  supervision is consistent with the knowledge, skill, and ability of the  occupational therapist, and appropriate for the complexity of client needs and  number of clients for whom the occupational therapist is providing advanced  practice services.
                  Applicants must complete the required number of hours of  education and supervised on-the-job training prior to submission of an  application.
  Advanced practice applications not completed within six months  of receipt or notification of deficiency, whichever is later, shall be deemed  abandoned and an application submitted subsequent to the abandonment of a  previous application shall be treated as a new application. 
                Please note: The Board's staff does not include an occupational  therapist.  Advanced Practice courses are  sent out for review by Board experts. We apologize for the delay and any  inconvenience. Please continue to practice under appropriate  supervision until you receive your approval from the Board. If you  have any questions, please call us at (916) 263-2294. Thank you.

