7 Tips to Get Your Occupational Therapy Observation Hours (and Shadowing Opportunities)

If you’re interested in becoming an OT, you’ve probably already heard all about how challenging the coursework is for occupational therapy graduate programs (for both OT Master’s and Doctorates). The process of applying to occupational therapy school can be just as challenging, but in a different way, especially when you’re trying to obtain enough occupational therapy observation hours required for your applications.

In many cases, there are plenty of pre-OT students vying for a limited number of accessible observation opportunities with OTs, so it helps to know ahead of time how to go about securing the hours you need.

Because of this, we created this handy guide to ensure you get enough occupational therapy shadowing hours and also have a competitive edge. For even more applying to OT school tips, be sure to also check out our all-inclusive guide below, as well as our free article, 7 Steps to Get Into Occupational Therapy School.

7 Tips to Help You Get Your OT Observation Hours

1. Start Looking Early 

The most important advice I have is to start looking for OT observation opportunities as early as possible. Academic courses generally run along the same semester schedule, which means that all of the students in your graduating year will probably start looking for openings at around the same time, toward the end of the semester and into the summer months.

As time goes on and OT school application deadlines are approaching, those who have yet to complete their hours will become more and more desperate to meet that requirement.

All this means that the sooner you begin looking for an observation opportunity, the better. You’ll also be able to rack up more hours without having to scramble to find spots at the last minute. So, if you can start getting your OT observation hours even the year before you plan on applying, you will be ahead and will have the time to gain even more hours in multiple OT settings without scrambling at the last minute.

2. Research Occupational Therapy Shadowing Opportunities Near You

Once you’ve decided to get a jump on the competition, the best thing to do next is to research your local options.

Current OT students who have already completed their required hours are a great source for a peer perspective. Not only will each student have had their own experience observing various occupational therapy settings, but they’ve usually also spoken to other observing students about the conditions at their locations.

It is important to remember that a lot of what you hear from more experienced students will be their opinions based on their own experience, but that doesn’t mean that they don’t also have some good information and advice to pass down.

To be sure that you’re considering all of the possible occupational therapy shadowing opportunities in the area, first do a little brainstorming about all of the possible environments in which an occupational therapist might work.

After that, you can use Facebook, LinkedIn, Google, Google Maps, and even Indeed to help you to compile lists of all of those types of places.

Just to be sure that you’ve considered all of the possible locations, you might even contact your state’s Occupational Therapy Association to see if there are any shadowing opportunities you may have missed. Some types of places that you might not naturally consider are group homes, independent living facilities, skilled nursing facilities, and assisted living facilities.

These facilities may be easier to get into than the traditional inpatient rehab or acute care hospitals since they don’t have as much red tape/requirements and also aren’t as commonly thought of. Just be sure with any setting, you’re shadowing directly under an OT for the hours to count towards your requirement.

Other OT Settings to Consider:

• Pediatric outpatient clinics
• Driving rehab clinics
• The VA
• Hand therapy clinics
• Outpatient neuro rehab clinics
• Home health companies
• School systems
• Research institutions with OT researchers
• Animal-assisted therapy clinics

3. Make the Right First Impression

Depending on the location or type of OT setting, you might be required to go through an intermediary like a volunteer coordinator in order to contact the location. In other situations, you may be able to contact them directly. You can go in person, cold call, and/or email. You may want to try multiple ways of contacting for each place you’re considering.

When you do make first contact with the facility where you’ll be observing, be sure to treat it like you would an interview for a job. Remember that just because you’ve found an opening for shadowing, doesn’t mean they’ll automatically invite you to fill it. In many areas, due to the limited number of opportunities, OT observation opportunities are competitive.

4. Stay on Top of Things

You may not receive an answer right away when you do make contact with a facility. Remember that the professionals at these facilities are often very busy with their own patients and administrative tasks. They may not get back to you quickly with an answer.

In some cases, it may even slip their minds that you stopped by and that you need to complete your observation hours. Do not rely on the professional occupational therapists to handle the arrangements for and details of your observation opportunity.

Be politely persistent while waiting to hear back from a facility that you’ve applied to, and don’t assume that someone will immediately contact you to tell you how to proceed.

5. Get Credit for the Hours You Shadow

Many occupational therapy programs have established forms and routines for how they would like observation hours to be logged. If you aren’t sure of what form to use, contact the schools you’re applying to for specific logging information since each program may have different procedures for this.

It’s possible that the number of shifts/hours offered to you for observation may be limited, so be sure to take advantage of them whenever you can, and accept your hours as they come, in multiple settings as much as you can.

If you can work it out with the occupational therapists at each facility, it’s best to try to establish a set schedule for observation that works for both of you.

Be sure to log your hours as you accumulate them and try not to let any shifts pass without documenting your hours. You’re going to need a significant number of hours shadowing, and it can be a challenge to get them all in, so be sure to get credit for the hours you’ve earned.

Always log your hours accurately and ensure that the occupational therapist is verifying them as necessary.

6. When in a Pinch, Get Creative!

Because there are generally a limited number of occupational therapists working in a given geographical area at any one time and because each occupational therapist can only take on so many hours of student shadowing, you may find yourself in a situation in which there simply are not that many traditional opportunities for OT shadowing.

In these instances, you may have to get a little creative with how and where you obtain your hours. The faculty involved with your prospective OT program may have some suggestions, but you can also approach them first with your own alternative ideas, like volunteering at an event with a population that may have an OT present. Here are some volunteer options to look into: Top Occupational Therapy Volunteer Opportunities

If an occupational therapy facility or clinic near you has other job openings such as a clerical or rehab aid/assistant positions, you can try applying for one of those roles to gain experience in the therapy environment. Your school may even be conducting an academic study related to the occupational therapy field with which you could volunteer to help out.

Regardless of the alternative means you come up with to gain experience in the occupational therapy environment, always check first with your academic program administrators, and never assume that your logged hours will count unless your observation method is approved. Even if these hours won’t count as official observation hours, they can lead to potential networking with OTs that you can shadow for your application.

7. Get More Than the Required Hours

While this is not mandatory, I highly suggest you get more hours than the recommended number given by the programs you’re applying to. For example, if the programs you’re applying to require 20-40 observation hours, I recommend obtaining more hours in multiple settings to strengthen your application when possible.

This not only helps you learn about more occupational therapy settings and gain more exposure to the field, but it also makes your application that much stronger with additional hours.

Keep in mind many other pre-OT applicants are also getting more than the required number of hours, so the more hours you can obtain, the better.

While getting these larger numbers of hours isn’t always easy, pacing yourself, following the above tips and varying the settings you choose will make this more achievable.

Your Observation Hours Are Also How You Get Your OT Letter of Recommendation

Here’s something worth knowing before your first shadowing shift: most OT programs require at least one letter of recommendation from an occupational therapist. If you haven’t worked in the field, the OT you shadow is likely your only realistic source.

This changes how you should approach your hours. A therapist who supervised you for four disconnected shifts can write that you attended. A therapist who saw you across fifteen or twenty hours, watched you ask thoughtful questions, and got to know you can write something that actually helps your application.

A few things that make a difference:

Prioritize depth at one or two sites alongside breadth across settings. Getting 40 hours at one facility and 20 across two others is often stronger than 10 hours at six places.

Take notes after sessions, not during. Writing while a therapist treats can be off-putting to patients and looks like you’re evaluating rather than learning.

Ask about the letter before your hours end, not months later. “I’ve really valued observing here, would you be comfortable writing me a letter of recommendation when I apply?” is a normal, expected question.

Stay in touch. A short email when you submit your applications, and another when you hear back, keeps the relationship warm and makes the letter easier to write.

What You May Need Before You Can Start

Many facilities, especially hospitals and larger health systems, require clearances before you can shadow. Start getting your OT shadow hours well before it’s time to apply for OT school, since these items can take longer than expected:

• Background check
• TB test (sometimes a two-step process)
• Immunization records, including flu shot during flu season
• HIPAA training module

This is one reason smaller settings like outpatient clinics, private practices, skilled nursing facilities, school systems, are often easier to break into than large hospitals. Less red tape means a faster start for you.

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And that wraps up our quick-tips guide to getting your observation hours for occupational therapy school!

Current OT students and occupational therapists, what advice do you have about getting your shadowing hours for OT school? Do you have any other methods that can help? Let us know what else you would add to this list in the comments below. 

Additional Resources

5 Big Mistakes I Made When Applying to OT School (My OT Spot)

How to Get Occupational Therapy Observation Hours (Gotta Be OT)

A Pre-OT’s Guide to Observation Hours (Covalent Careers)

This post was last updated on August 27, 2026.