Keep your practice organized
Bring clients, schedules, invoices and your team into one workspace.
Explore practice managementTry Pro free for 14 days · No credit card
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.
Choose a tab to explore your practice workspace.
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Weekly calendar

Built around your day
Bring clients, schedules, invoices and your team into one workspace.
Explore practice managementKeep goals and SOAP notes together, with AI assistance you review before sharing.
Explore notes and goalsShare activities, session updates and invoices through a dedicated parent portal.
Explore parent engagementA clear next step, from the calendar to the family.
From the session to home
Explore activities, stories and reward boards for practice at home.
Explore the tool and examples
New Activity
Therapists and parents can create resources from their own portal.

Hands-on activities, thinking games and printable worksheets.
Explore activity tools →Explore the tool and examples
Choose Story Type
Therapists and parents can create resources from their own portal.

Personalized illustrated books with page flipping, narration and music, plus short social stories for everyday routines.
Explore story tools →Explore the tool and examples
Visual Reward Board — choose the daily goal
Therapists and parents can create resources from their own portal.

Choose a daily goal and build a visual routine.
Explore reward tools →

The people behind OT Thinking
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 AdolfoTry the Pro features, then choose what fits your practice. Paid plans below are billed monthly in USD.
$0forever
Start with a small caseload.
$49/ month
For independent pediatric OTs.
$99/ month
For clinics and growing teams.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Yes. You can organize sessions and create invoices from selected visits. Practices manage their own billing rates and payment setup.
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.
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.
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.
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.
Available to eligible professional accounts that have not used their trial.