This service is designed for those who are:
- Transitioning between therapy services
- Recently discharged and need structured guidance at home
- Looking to continue progress beyond traditional care
Support at the right time.
Sessions focus on practical, real-life strategies
to help clients continue progressing safely and confidently.
SERVICES
Virtual occupational therapy consultation for neurological recovery.
Virtual, 90 minutes
Neuro Consultation
A comprehensive occupational therapy consultation focused on improving functional performance, independence, and daily routines following neurological injury or illness.
- Functional assessment of daily activities and routines
- Upper extremity assessment
- Cognitive and visual screening
- Identification of barriers to independence and functional carryover
- Personalized strategies to support function at home
- Equipment recommendations (if applicable)
Includes a written summary with individualized recommendations and a personalized home program. Particularly helpful for individuals transitioning between or following discharge.
Virtual, 90 minutes
Home Safety & Accessibility Evaluation
A comprehensive evaluation of your home environment to improve safety, accessibility, and independence after illness or injury.
- Assessment of home setup for safety and accessibility
- Identification of fall risks and environmental barriers
- Recommendations for modifications, equipment, and positioning
- Practical strategies to support independence and caregiver safety
Includes a written summary with personalized recommendations based on real-time observation in your home environment. Particularly valuable following hospital or rehab discharge.
60 minutes
Follow-Up Sessions
- Progress tracking
- Program updates
- Ongoing support
Services are informed by over 15 years of clinical experience across hospital, outpatient, and home-based neurorehabilitation settings.
About Sarah
Sarah Ernst McPeak, OTR/L, C/NDTA, C/PAM
Sarah Ernst McPeak is an occupational therapist with over 15 years of experience in neurological rehabilitation across acute care, inpatient rehabilitation, outpatient, and home/community-based settings. She has worked with leading organizations including Stanford Health Care and Rehab Without Walls, specializing in helping individuals recover and function safely in real-world environments.
- Advanced training in neurorehabilitation (NDT)
- Extensive experience supporting complex recovery transitions
- Lecturer and fieldwork educator
Specialized Expertise
- Certified in Neuro-Developmental Treatment (NDT) for adults with stroke and brain injury
- Certified Ergonomic Assessment Specialist
- Clinical specialist in neurorehabilitation technology (Saebo), focused on upper extremity recovery
- Integration of upper extremity recovery tools into functional, real-world care
WHAT TO EXPECT
You will leave with clear next steps for continued progress.
Sessions are
- Interactive and practical
- Focused on your real home environment
- Designed to create clear next steps
You will leave with
- A personalized plan
- Exercises and strategies
- Clear next steps for continued progress
CONSULTATION SUMMARY
- Top Priorities
- Key Findings
- Strengths
- Challenges
- Daily focus
- Exercises
- Functional practice
- Caregiver support
CONTACT
Support between and beyond therapy
Virtual occupational therapy consultation for neurological recovery