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    Maryland Department of Health
    Board of Occupational Therapy Practice

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    Requesting Licensure with 3 or More Years Lapse in Practice.

    When an applicant applies for licensure, renewal, reactivation, or reinstatement, and meets all requirements for licensure, renewal, reactivation, or reinstatement, but has not graduated from an accredited occupational therapy program or practiced occupational therapy within the past 3 years or more, the Board shall require verification of the applicant's efforts toward maintaining and updating occupational therapy clinical competency.

    If an individual has been out of practice for between 3 and 8 years, the individual shall:
    • Complete a Board-approved self-assessment;
    • Complete a Board-approved professional development plan;
    • Attend a minimum of 24 contact hours related to occupational therapy principles and procedures within the 24 months preceding application for licensure, renewal, reactivation, or reinstatement; 
    • Provide verification of a minimum of 30 hours of observation of service delivery, receipt of mentoring, or a combination of both with an actively licensed occupational therapist within the 24 months preceding application for licensure, renewal, reactivation, or reinstatement; and
    • Document completion of established goals and activities in occupational therapy with an actively licensed occupational therapist within the 24 months preceding application for licensure renewal, reactivation, or reinstatement.

    If an individual has been out of practice for longer than 8 years, the individual shall:
    • Complete the requirements above; and
    • Provide verification of 6 additional contact hours related to occupational therapy principles and procedures.