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Rika Products

Assessment Tools for Occupational Therapists

Bariatric Products

Bath Safety

Bedroom Aids

Dressing Aids

Drinking Aids

Eating Aids

Hand Aids

Kitchen/Household Aids

Leisure/Recreation Aids

Mobility Aids

Personal Care

Pediatric Adaptive Products

Reachers

Reading/Writing Aids

Silipos Innovative Gel Products for the Feet, Hands and Skin

Tenura Anti-Slip and Grip Products

Therapists, Nurses and Caregivers

SHOP by Condition

Alzheimer's/Dementia

Arthritis

Asthma

Autism

Back Injury

Bariatrics/Obesity

Brain Injury/Cognitive

Cerebral Palsy

Developmental Delays

Hand Weakness

Hip Replacement/Injury

Knee/Leg Injury

Learning Disabilities

Mobility

Multiple Sclerosis

Muscular Dystrophy

Osteoporosis

Parkinson's

Spinal Cord Injury

Stroke

Maddak OT Circle Membership Application Bookmark and Share
OT Circle General Information OT Circle Membership Application

* Denotes required fields.

*First Name
*Last Name
*Address1
Address2
*City
*State/Province
*Zip/Postal Code
*Country

Phone (Please include all numbers and check your preferred contact number)

  Home
 Mobile
  Work
*Email Address
I found out about the Maddak OT Circle™ by:

*Status

 Occupational Therapist  Occupational Therapy Assistant
 Occupational Therapy Student  I have supervisory responsibilities

Name and address of your present place of employment/school

*Facility/School Name
*Address 1
Address 2
*City
*State
*Zip
Telephone Number
*Years in Practice
Department Size
Graduation Date (Students Only)

Work Setting

Which best describes your work
setting (check all that apply)

  •  Academic
  •  Early intervention
  •  Free-standing facility
  •  Home health
  •  Hospital (non-mental health)
  •  Neonatal unit of hospital
  •  Private practice
  •  School setting (public or private)
  •  Rehabilitation hospital or center
  •  Subacute facility/unit
  •  Mental health setting
  •  Work/industry/ergonomics setting
  •  Community-based (e.g., United Cerebral Palsy, Easter Seals, homeless shelter)
  •  Skilled nursing facility/long-term care/assisted living
  • Other (specify)

Areas of Interest

(check all that apply)

  •  Early intervention/pediatrics
  •  Developmental disabilities
  •  Education
  •  Gerontology
  •  Home & community health
  •  Mental health/cognitive disabilities
  •  Physical disabilities
  •  Sensory integration
  •  Technology

Participation

I'm interested in (check all that apply)

  •  Participating in focus groups
  •  Attending webinars
  •  Giving webinars
  •  Sampling and reviewing products
  •  Networking with other occupational therapists, assistants and students