Preparing for Your First NDIS OT Appointment: Checklist

October 1, 2025

That moment when you’ve finally secured your first occupational therapy appointment through the National Disability Insurance Scheme can feel both exciting and overwhelming. You might be wondering what to bring, how to prepare, or whether you’ll remember everything important when the moment arrives. The anticipation of meeting someone new who will help shape your support journey can stir up questions and perhaps a touch of nervousness—and that’s entirely normal.

Preparation is the bridge between uncertainty and confidence. When you arrive at your first NDIS occupational therapy appointment equipped with the right information and realistic expectations, you create the foundation for a productive therapeutic relationship. This checklist will guide you through everything you need to consider before your occupational therapist arrives at your home or you attend your session, ensuring you make the most of this crucial first meeting.

Whether you’re in Brisbane, North Lakes, Sydney, Melbourne, or accessing services via telehealth across Queensland, Victoria, New South Wales, or Tasmania, understanding what to expect and how to prepare can transform an anxious wait into an empowered step towards achieving your goals.

What Should You Bring to Your First NDIS Occupational Therapy Appointment?

Documentation forms the cornerstone of effective occupational therapy assessment. Your occupational therapist will need to review specific paperwork to understand your NDIS plan, funding allocation, and support needs comprehensively.

Your NDIS plan is the most critical document to have readily available. This includes your complete plan document, not just the summary page. The full plan contains detailed information about your funding categories, support budgets, and approved supports that will directly influence the therapy recommendations and interventions your occupational therapist can provide. Having this document accessible—whether as a hard copy or digital version on your phone—allows for real-time discussion about how services align with your funding.

Medical reports and diagnostic documentation provide essential context about your disability, health conditions, or functional limitations. These might include specialist reports, hospital discharge summaries, or diagnostic assessments. You don’t need every medical document you’ve ever received, but recent reports relevant to your current functional challenges will help your occupational therapist understand your situation more thoroughly.

Any previous therapy reports or assessments completed by other health professionals create continuity in your care. If you’ve worked with physiotherapists, speech pathologists, or other occupational therapists in the past, their reports can reveal what interventions have been beneficial and which approaches might need adjustment.

A list of current medications, including dosages and prescribing doctors, helps your occupational therapist understand how your medication regime might influence your daily function, energy levels, or cognitive abilities. This information becomes particularly relevant when discussing strategies for managing tasks throughout the day.

How Can You Prepare Your Home or Assessment Environment?

The environment where your assessment takes place significantly influences the accuracy and relevance of the evaluation. Since many NDIS occupational therapy services, including mobile providers across Brisbane, Gold Coast, Sydney, and Melbourne, conduct assessments in your home, preparing this space thoughtfully ensures the session captures your genuine daily experiences.

Consider the areas of your home where you experience the most significant challenges. If morning routines in the bathroom present difficulties, ensure this space is accessible for observation and discussion. If kitchen tasks feel overwhelming, having this area tidy enough for assessment—but not artificially organised beyond your usual habits—provides authentic insight into your daily reality.

Leave your home in its typical state rather than tidying excessively. While you might feel inclined to present your home at its absolute best, occupational therapists need to see your genuine living environment to provide accurate recommendations. The way your furniture is arranged, where items are stored, and how you’ve adapted your space all provide valuable information about your current strategies and where additional support might help.

For telehealth appointments conducted across Queensland, Victoria, New South Wales, or Tasmania, position yourself in a well-lit area with a stable internet connection. Have your camera positioned so your occupational therapist can see you clearly from at least chest height upward, allowing for observation of upper body movements and facial expressions during conversation.

Notify other household members about the appointment timing. Your first NDIS occupational therapy session requires concentration and open discussion, which can be challenging with unexpected interruptions. If you have children, pets, or other household members, arranging for them to be occupied or in another part of the home during the appointment creates space for focused conversation.

What Information Will Your Occupational Therapist Need to Know?

Occupational therapists gather comprehensive information during initial assessments to develop a holistic understanding of your life, goals, and challenges. Being prepared to discuss certain topics helps the session flow smoothly and ensures nothing important gets overlooked.

Your daily routine forms a crucial part of the discussion. Consider how you move through a typical day—from waking up, managing personal care, preparing meals, engaging in work or meaningful activities, and winding down for sleep. Think about which activities feel manageable and which ones create frustration, fatigue, or physical challenges. This overview helps your occupational therapist identify patterns and priorities for intervention.

Your goals, both immediate and longer-term, guide the entire therapy process. These might include practical objectives like showering independently, returning to work, or managing household tasks. They might also encompass social goals, such as participating in community activities, maintaining friendships, or engaging in hobbies you’ve previously enjoyed. There’s no hierarchy of importance—what matters to you is what matters in therapy.

Safety concerns deserve honest discussion. If you’ve experienced falls, near-misses, or situations where you felt unsafe in your home or community, sharing these incidents provides critical information. Your occupational therapist can then assess risk factors and recommend strategies or equipment to enhance safety without unnecessarily restricting your independence.

Support networks significantly influence how recommendations can be implemented. Who lives with you? Who provides informal support? What formal supports do you currently access? Understanding your network helps your occupational therapist develop realistic recommendations that consider the resources and assistance available to you.

Your interests, hobbies, and valued activities might seem tangential to practical daily tasks, but they’re central to meaningful occupational therapy. Therapy isn’t solely about managing basic self-care; it’s about enabling participation in activities that bring joy, purpose, and connection to your life.

What Questions Should You Ask During Your First NDIS OT Session?

Active participation in your first appointment includes asking questions that clarify the therapy process, set expectations, and establish a collaborative relationship. Approaching your occupational therapist with inquiries demonstrates engagement and helps you become an informed participant in your care.

Understanding the assessment process itself provides clarity. Ask how long the initial assessment typically takes, whether there will be follow-up sessions, and what happens between appointments. This helps you plan your schedule and understand the commitment involved.

Clarifying how recommendations align with your NDIS plan ensures you understand the funding implications. Questions might include: “How will the recommended supports fit within my NDIS budget?” or “Which funding category will cover the interventions you’re suggesting?” This transparency helps prevent surprises and allows for informed decision-making about which recommendations to pursue.

Discussing timelines sets realistic expectations. When might you expect to see progress? How frequently will therapy sessions occur? How long might specific interventions take to implement? While occupational therapists cannot guarantee specific outcomes, they can provide general timeframes based on typical experiences.

Understanding the occupational therapist’s role within your broader support team clarifies boundaries and collaboration opportunities. How will they communicate with your support coordinator, other therapists, or medical professionals? What aspects of your function fall within occupational therapy’s scope, and what might require referral to other professionals?

Asking about communication preferences establishes practical logistics. How can you contact your occupational therapist between sessions if questions arise? What’s the typical response timeframe? How will they provide updates or reports?

How Long Does a First NDIS Occupational Therapy Appointment Take and What’s the Format?

Time expectations vary depending on the complexity of your situation and the assessment type required. Understanding typical durations helps you plan your day and prepare mentally for the appointment length.

Initial NDIS occupational therapy assessments generally range from 60 to 90 minutes, though more comprehensive functional capacity assessments may extend to two or three hours. The length reflects the need to gather detailed information about your functional abilities, home environment, goals, and support needs.

The session typically begins with informal conversation—a getting-to-know-you period where your occupational therapist explains their role, the assessment process, and addresses any immediate questions or concerns you might have. This initial phase establishes rapport and helps you feel more comfortable before diving into more detailed discussions.

The assessment phase involves structured questions about your daily activities, functional abilities, and challenges. Your occupational therapist might ask you to demonstrate certain tasks if appropriate and relevant to your goals. For home-based assessments in Brisbane, North Lakes, Sydney, Melbourne, or regional areas like the Sunshine Coast, this might include observing how you navigate your home environment, manage kitchen tasks, or perform personal care activities.

Observation forms a key component, though it’s conducted respectfully and with your consent. Your occupational therapist might note how you move, sit, stand, reach for items, or use assistive equipment if you currently have any. These observations aren’t judgmental; they’re clinical assessments that inform recommendations.

Discussion of goals typically occurs throughout the session rather than as a separate phase. As you describe your daily challenges and routines, your occupational therapist will naturally explore what changes you’d like to see and what outcomes would be meaningful to you.

The session usually concludes with a summary of initial observations, discussion of potential next steps, and clarification of what happens following the appointment. Some occupational therapists provide preliminary recommendations during the first session, while others prefer to review all information comprehensively before making formal suggestions.

What Documentation and Tools Help You Prepare Effectively?

Creating organised documentation before your appointment ensures you don’t forget important information and helps the session remain focused and productive. A structured approach to preparation demonstrates your commitment to the therapy process and respects the limited appointment time.

Consider developing a simple daily activity log for the week leading up to your appointment. This doesn’t need to be exhaustive, but noting which tasks you managed independently, which required assistance, and which you avoided altogether provides concrete examples for discussion. Include notes about pain levels, fatigue, or emotional responses to different activities.

A goals list written before the appointment helps you articulate your priorities. Sometimes in the moment, especially when feeling nervous, it’s easy to forget what you wanted to discuss. Having a written list ensures nothing important gets overlooked. Consider categorising goals as immediate (things you’d like to address within the next few weeks), short-term (achievable within a few months), and longer-term aspirations.

A simple table format can help organise your thoughts:

Document/Information TypeSpecific Items to PrepareWhy It’s Important
NDIS DocumentationComplete NDIS plan, service agreements, support coordinator detailsClarifies funding and approved supports
Medical InformationRecent reports, diagnoses, medication list, relevant imagingProvides clinical context for recommendations
Previous Therapy ReportsOT, physio, or other allied health reports from past 12 monthsEnsures continuity of care and prevents duplication
Daily Activity Notes1-week log of activities, challenges, and assistance neededOffers concrete examples for discussion
Environmental PhotosImages of home areas causing concern (optional)Helpful for telehealth or pre-session planning
Goal StatementsWritten list of immediate and long-term objectivesKeeps session focused on your priorities
Question ListAny concerns or queries about the OT processEnsures you get answers to important questions
Support Network InformationNames and roles of current formal and informal supportsHelps coordinate recommendations with existing services

Photographs of your home environment can be particularly valuable, especially for areas of concern. If you’re preparing for a telehealth appointment or want to help your occupational therapist understand your living situation before arriving, having images of your bathroom, kitchen, bedroom, or entry areas can facilitate more targeted discussion.

What Happens After Your Initial NDIS OT Assessment?

The conclusion of your first appointment marks the beginning of your ongoing occupational therapy journey rather than an end point. Understanding the subsequent process helps you know what to expect and when to anticipate next steps.

Report writing typically occurs within one to two weeks following your initial assessment. Your occupational therapist will compile their observations, analysis of your functional abilities, and recommendations into a formal report. This document becomes part of your NDIS records and may be shared with your support coordinator, plan manager, or other relevant professionals with your consent.

Recommendations might include equipment or assistive technology suggestions, home modification proposals, skill development strategies, or ongoing therapy services. Each recommendation should clearly link to your stated goals and align with your NDIS plan funding categories.

The implementation phase varies depending on the complexity of recommendations. Simple strategies or equipment might be actioned quickly, while home modifications or complex assistive technology require quotes, NDIS approval processes, and coordination with multiple providers. Your occupational therapist will guide you through these processes, but understanding they may take time helps manage expectations.

Review appointments allow your occupational therapist to assess progress, adjust strategies, and ensure recommendations remain relevant to your evolving needs. The frequency of these sessions depends on your NDIS plan, specific goals, and the intensity of intervention required.

Communication with other providers in your support network ensures coordinated care. Your occupational therapist might liaise with physiotherapists, speech pathologists, support workers, or medical professionals to ensure everyone works towards consistent goals using complementary approaches.

Service agreements and ongoing arrangements need clarification after the initial assessment. If continuing therapy is recommended, you’ll discuss frequency, duration, and funding allocation with your occupational therapist or their administrative team.

Taking Control of Your First Appointment Experience

Preparation transforms anxiety into agency. When you approach your first NDIS occupational therapy appointment with organised documentation, clear communication about your goals, and realistic expectations about the process, you create conditions for a productive therapeutic relationship from the outset.

Remember that occupational therapists conducting assessments in Brisbane, North Lakes, Sydney, Melbourne, regional Queensland, or via telehealth across multiple states are accustomed to working with people experiencing a range of emotions about their first session. Whether you feel nervous, hopeful, uncertain, or overwhelmed, these feelings are valid and won’t interfere with your occupational therapist’s ability to conduct a thorough, compassionate assessment.

The checklist approach to preparation isn’t about achieving perfection before your appointment—it’s about reducing cognitive load during the session so you can focus on genuine conversation rather than trying to remember important details. By gathering your documentation, considering your daily routines and challenges, and preparing questions in advance, you free up mental space for the collaborative work that defines effective occupational therapy.

Your first NDIS occupational therapy appointment represents an investment in your independence, function, and quality of life. The time spent preparing for this session multiplies its value, ensuring your occupational therapist develops a comprehensive understanding of your situation from the very beginning.

What if I forget to bring important documents to my first NDIS OT appointment?

Don’t worry if you forget documentation—your occupational therapist can still conduct much of the initial assessment through conversation and observation. You can email or securely share forgotten documents after the appointment. However, having your NDIS plan available helps with immediate discussion about funding and services.

Can a family member or support person attend my first NDIS occupational therapy session with me?

Absolutely. Many people benefit from having a trusted person present during their first appointment. Family members or carers often provide valuable additional perspectives about your daily function and can help remember information discussed during the session. Just let your occupational therapist know who will be attending so they can prepare accordingly.

How should I prepare for a telehealth NDIS OT appointment differently from an in-person session?

For telehealth appointments, ensure you have a stable internet connection, a device with a working camera and microphone, and a quiet, well-lit space. Have all documentation accessible digitally on your device, and consider whether you can move your camera to show different areas of your home if discussing environmental challenges. Testing your technology 15 minutes before the scheduled time is also a good idea.

What happens if I become overwhelmed or emotional during my first occupational therapy assessment?

Occupational therapists understand that discussing challenges and goals can evoke strong emotions. It’s perfectly acceptable to take breaks, have a glass of water, or reschedule the remainder of the assessment if needed. Your comfort and emotional well-being are priorities.

How much detail should I prepare about my daily activities before the appointment?

Provide enough detail to accurately describe a typical day, focusing on tasks that challenge you, those you avoid, and routines where you’d like to see improvement. General patterns are more important than exhaustive specifics, and your occupational therapist will ask follow-up questions if more detail is needed.

Gracie Sinclair

Gracie Sinclair

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