What happens first?

An initial assessment is required to determine your child’s fine motor/handwriting issue. The duration and assessments required are usually discussed with you and your therapist when you first call the service. During the assessment process a combination of informal and standardized tests will be used depending on the age of the child and presenting concern.

Following the assessment, an individualized therapy program will be provided. Therapy sessions will be tailored to each client’s needs and home practice activities will be provided. You may be able to obtain rebates for intervention or depending on your health insurance cover, be able to claim for Occupational Therapy intervention.


 Preschool Fine Motor Skills

  • School Readiness: pencil/scissor skill, self care skills (tying laces)
  • Fine Motor Development: dexterity skills & hand strength

School Age (K-12)

  • Handwriting Skills
  • Manual dexterity & hand strength
  • Visual Perceptual skills
  • Productivity in the classroom
  • Assessment for Disability Provisions for Exams

Meet the OT…

Sarah Baxter

Bachelor of Applied Science, Occupational Therapy , The University of Sydney (2000)

Sarah has been working as a hand therapist since 2002. She has gained extensive clinical experience in treating both adult and paediatric hand conditions through her work in private practice, NSW health and the NHS in England. Throughout her career Sarah had gained specialised skills in working with children, their families and significant others. She focuses on improving hand function and meeting children’s individual needs and goals.

Sarah has expertise in the assessment and intervention of hand writing and fine motor skills. She enjoys working one on one with children with intervention focusing on increased participation in school, play, self-help skills, sporting and leisure activities. For the past seven years Sarah has also held the position of senior hand therapist at the Children’s Hospital at Westmead. Here she specialises in handwriting, hand trauma and congenital hand abnormalities in babies and children.

Sarah is also passionate about mentoring and teaching. Due to her clinical expertise Sarah holds the position of casual academic staff at the University of Sydney, and is the current student unit supervisor at the Children’s Hospital at Westmead. Sarah holds a full membership with the Australian Hand Therapy Association.

Occupational Therapy at the Childhood Learning & Speech Pathology practice provides intervention to kids in the Ryde area. These suburbs include: North Ryde, Denistone, East Ryde, Maquarie Park, Marsfield, Eastwood, Epping, Dundas, Ermington.