Libby seen in her room for a 45 minute occupational therapy treatment session. Focus of therapy on improving her ocular motor skills, visual perceptual abilities, fine motor development, visual motor skills, sensory motor skills and graphomotor skills. Began treatment session with fine motor task aimed to increase the strength in Libby's hands to improve control and distal hand achieving mature grasp patterns. Continued therapy instructing Libby on the correct letter formation, line place and size of the lower case letters "e and z". She was able to write both these letters well when provided with auditory and visual cues for start point and line placement. Reviewed previously learned lower case letters. Libby required verbal cues to form the lowercase letters "a, b and y". Lastly, Libby painted two Easter ornaments to continue to work on refined hand use. She is a pleasure as usual to work with and continues to make steady gains in all areas addressed.