Richard was seen in his room for a 45 minute treatment session today. Focus of treatment was on improving fine motor skills (hand strength, grip strength, dexterity and manipulation), visual motor integration, ocular motor skills, and graphomotor skills/keyboarding as an alternate means to written communication. Began treatment with visual exercises and had Richard work on switching from near point to far point vision to work on accommodation and recovery while patching right and left eye. Richard reported that it was easier to do with his left eye versus right (he is left eye dominant). During this activity there was a lot of stopping and starting again and some errors. Continued with Brock String to work on divergence and convergence - OT moved the red bead slowly while RIchard had to follow with his eyes and lastly we did bug on string activity -eye movements (convergence and divergence) were adequate with some jumping in place noted with "bug on string" task. Working on keyboarding via typing.com. He was able to use isolated finger movements to type 4 wpm- 6wpm with 96% accuracy in the beginner review section of this program. Lastly, Richard was instructed on the lowercase letter "s" in cursive via "Script Island". This letter was more difficult for him to learn but with visual cues and verbal cues he was able to form the "s". He will need more practice in this area of writing. He reviewed all previous letters learning in script and wrote them well today. Good session.