(a) A licensed occupational therapist or licensed occupational therapy assistant may evaluate, initiate, and provide occupational therapy services and consult with, educate, evaluate, and monitor services for individuals, groups, and populations concerning occupational therapy needs without a referral.
     (b) (Blank).

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     (c) Referral from a physician or other health care provider is not required for evaluation or intervention for children and youths if an occupational therapist or occupational therapy assistant provides services in a school-based or educational environment, including the child’s home.
     (d) An occupational therapist shall refer a patient to the patient’s treating health care professional of record, or to a health care professional of the patient’s choosing if there is no health care professional of record, if:
         (1) the patient does not demonstrate measurable or
    
functional improvement after 10 visits or 15 business days, whichever occurs first, and continued improvement thereafter;
        (2) the patient was under the care of an occupational
    
therapist without a diagnosis established by a health care professional of a chronic disease that may benefit from occupational therapy and returns for services for the same or similar condition 30 calendar days after being discharged by the occupational therapist; or
        (3) the patient’s medical condition, at the time of
    
evaluation or services, is determined to be beyond the scope of practice of the occupational therapist.