OT Registration 123 First name*Surname name*Email* Telephone* Counties you serviced (hold down Ctrl for multi-select)*CarlowCavanClareCorkDonegalDublinGalwayKerryKildareKilkennyLaoisLeitrimLimerickLongfordLouthMayoMeathMonaghanOffalyRoscommonSligoTipperaryWaterfordWestmeathWexfordWicklowYour main county*CarlowCavanClareCorkDonegalDublinGalwayKerryKildareKilkennyLaoisLeitrimLimerickLongfordLouthMayoMeathMonaghanOffalyRoscommonSligoTipperaryWaterfordWestmeathWexfordWicklowYour areas of specialty (hold down Ctrl for multi-select)*Support with everyday activities and safety within the homeSupport with community activities (driving, shopping, socialising, etc)Support with memory, cognition and organisationHousing adaptations / grant applicationsAssistive TechnologySeating and wheelchairsSensory processingMental Health and Well-BeingVocational and workplace related skillsHandwriting and fine motor skillsHand TherapyMedical-legal reportsProfessional supervisionCase managementConsultation About you description*CAPTCHAEmailThis field is for validation purposes and should be left unchanged.