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Built for pediatric occupational therapists

Try Pro free for 14 days · No credit card

Your practice, organized. Your families, connected.

Manage your pediatric OT practice from A to Z, all in one place.

Turn raw voice notes into professional notes with AI enhancement. Build goals and personalized therapy and homework activities with AI. Keep scheduling, invoicing and client communication simple.

No credit card. After 14 days, your account moves to Free unless you choose and purchase a paid plan.Available to eligible professional accounts that have not used their trial.

Explore OT Thinking

Choose a tab to explore your practice workspace.

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Weekly calendar

Weekly calendar in OT Thinking
  • Built with pediatric OTs
  • For occupational therapists
  • Secure patient data
  • Free to start
  • Parents stay engaged

Built around your day

Less switching between tools. More room for your practice.

Make documentation manageable

Keep goals and SOAP notes together, with AI assistance you review before sharing.

Explore notes and goals

Keep families connected

Share activities, session updates and invoices through a dedicated parent portal.

Explore parent engagement

From scheduling to parent follow-up

A clear next step, from the calendar to the family.

  1. Step 1
    Schedule session
    Plan visits in one calendar.
  2. Step 2
    Run session
    Update status as the session progresses.
  3. Step 3
    Document & bill
    AI-assisted SOAP notes, photos, and auto-generated invoices.
  4. Step 4
    Send home
    Share notes, invoices, and AI-generated activities, stories or reward boards with parents.
  5. Step 5
    Parent completes
    Parents do the homework and upload photos for your review.

From the session to home

Creation tools for therapists and parents.

Explore activities, stories and reward boards for practice at home.

See the reusable library →

Motion & paper activities

Explore the tool and examples

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New Activity

Therapists and parents can create resources from their own portal.

New Activity in OT Thinking

Hands-on activities, thinking games and printable worksheets.

Explore activity tools →

Therapeutic & social stories

Explore the tool and examples

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Choose Story Type

Therapists and parents can create resources from their own portal.

Choose Story Type in OT Thinking

Personalized illustrated books with page flipping, narration and music, plus short social stories for everyday routines.

Explore story tools →

Visual reward boards

Explore the tool and examples

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Visual Reward Board — choose the daily goal

Therapists and parents can create resources from their own portal.

Visual Reward Board — choose the daily goal in OT Thinking

Choose a daily goal and build a visual routine.

Explore reward tools →
Ueda Cenaj
Ueda CenajPediatric occupational therapist
Adolfo Alcalde
Adolfo AlcaldeCo-founder & product builder

The people behind OT Thinking

It started with the needs of a real practice.

Ueda brings her experience as a pediatric OT and parent. Adolfo brings his background in product, operations and software. Together, we built OT Thinking around the work that happens before, during and after a session.

Meet Ueda and Adolfo

Explore Pro free for 14 days.

Try the Pro features, then choose what fits your practice. Paid plans below are billed monthly in USD.

Free

$0forever

Start with a small caseload.

  • 3 active clients
  • 16 sessions / month
  • Basic SOAP notes & parent portal
  • Invoicing
Start free

Solo

$49/ month

For independent pediatric OTs.

  • 15 active clients
  • Unlimited sessions
  • 50 AI generations / month
  • Invoicing
Get started with Solo

Pro

14 days free

$99/ month

For clinics and growing teams.

  • Unlimited clients & sessions
  • Unlimited AI (fair use applies)
  • Team workspace, website & payroll
  • Invoicing
Start 14-day Pro trial

No credit card. After 14 days, your account moves to Free unless you choose and purchase a paid plan.Available to eligible professional accounts that have not used their trial.

Questions about OT Thinking

What is OT Thinking?

OT Thinking is web-based practice management software for therapists, built with a special focus on pediatric occupational therapy. It brings together client records, scheduling, SOAP notes, therapy goals, invoicing, home activities and a parent portal.

Who is OT Thinking designed for?

OT Thinking serves solo therapists and therapy practices, including occupational, speech, behavioral and physical therapy. Its specialized AI tools currently focus on pediatric OT, with a parent portal for families invited by their therapist.

Does OT Thinking work for speech therapists?

Yes. OT Thinking is a full practice management platform that speech therapists and speech-language pathologists can use for client records, scheduling, session notes, goals, invoicing and family communication. Its extra specialized AI tools currently focus on pediatric occupational therapy.

Does OT Thinking work for behavior therapists?

Yes. Behavior therapists can use OT Thinking to organize their practice, including clients, appointments, session notes, goals, invoicing and family communication. The practice management features work across therapy disciplines; the current specialized AI tools focus on pediatric occupational therapy.

Does OT Thinking work for physical therapists?

Yes. Physical therapists and physiotherapists can use OT Thinking for practice management, including client records, scheduling, session notes, goals, invoicing and family communication. The platform supports different therapy disciplines, with additional AI tools currently focused on pediatric occupational therapy.

Can I try OT Thinking Pro for free?

Yes. Eligible professional accounts that have not used their trial can try Pro free for 14 days, with no credit card required. Explore the Pro practice tools, team workspace, branded website and AI creation tools. After 14 days, your account moves to Free unless you choose and purchase a paid plan. There is no automatic charge.

Can AI write my clinical notes for me?

OT Thinking can help draft SOAP notes and therapy goals. The treating professional must review and edit AI output for accuracy and suitability before using or sharing it. AI does not replace clinical judgment.

How do parents get access?

The therapist sends an invitation. The parent creates or signs into an account using the invited email address and accesses the information their therapist has shared. Private clinical information is not part of the public website.

Do parents pay to see assigned activities?

Invited parents can access therapist-assigned content through the parent portal for free. Optional parent-created premium AI content uses credit packs. Therapy session charges are separate from platform access.

Can I schedule sessions and create invoices?

Yes. You can organize sessions and create invoices from selected visits. Practices manage their own billing rates and payment setup.

Do I need approval before using my professional account?

Provide your license details and the requested document during signup. After confirming your email, you can enter your practice immediately without manual approval. Professionals remain responsible for accurate credentials and appropriate use.

Where can I read about privacy and security?

The security page describes the platform’s data controls, and the privacy policy explains data handling and requests. Review both before deciding whether the platform fits your practice requirements.

Does OT Thinking provide occupational therapy or diagnose children?

OT Thinking provides software and activity tools. It does not replace assessment, diagnosis or individualized care from a qualified professional. Ask your treating therapist which activities and goals are appropriate.

Read all answers and related resources

Try Pro free for 14 days.

See how Pro brings your practice, team and family communication together.

No credit card. After 14 days, your account moves to Free unless you choose and purchase a paid plan.

Talk to the team

Available to eligible professional accounts that have not used their trial.