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On Track Occupational Therapy is a boutique provider of Occupational Therapy assessments and intervention. Established in 2012, we offer specialised services within Life Insurance, CTP and Ageing Population markets working with people who have sustained an injury or illness.  


We understand that these changes in health can impact a person’s ability to carry out their usual activities of daily living and work, and in turn affect their quality of life. Our holistic, client centered and biopsychosocial approach supports and enhances our client’s experience and optimises their recovery.

Our team of consultants are experts in their field, each with extensive experience in clinical and occupational rehabilitation settings.  All consultants are accredited and are up-to-date with industry information and evidence-based practice. 


We pride ourselves on our ability to:

  • Conduct objective assessments which demonstrate sound clinical reasoning, independent and expert opinion and recommendations. 

  • Develop tailored, goal orientated and evidence based intervention programs which meet the unique needs of each person we work with. These programs are regularly reviewed and updated at set milestones.

  • Follow best practice rehabilitation principles and work proactively to provide the right type of service and assessment at the right time.

  • Easily develop rapport and collaborate with key stakeholders in our client’s recovery, and ensure that all parties work together to facilitate a seamless service of the right supports in the community.



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Director & Occupational Therapist

NSW South Coast 

Rachael Hay is a highly experienced Occupational Therapist with a background in personal training and a passion for health and wellbeing. Rachael is the founder and Joint Director of On Track OT

Rachael boasts over 20 years experience as an Occupational Therapist. During this time she has developed her clinical skills in Australia and the UK specialising in neurology within community and rehabilitation settings. Rachael has extensive experience in within the field of Occupational Rehabilitation including CTP, Life Insurance and Medico Legal arena. 

Within her management roles at large organisations, Rachael developed a passion for quality and exceptional service delivery and she continued to lead teams within these operational roles. 

Rachael is passionate about:

  • Injury prevention and working with corporate organisations to complete ergonomic assessments, intervention and training.

  • Assisting people with mental health conditions achieve wellness and RTW goals and work collaboratively with their treating team.

  • Increasing her clients’ independence at home by providing them with equipment and functional education to return to meaningful activities.

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Director & Occupational Therapist

Sydney & surrounds

James is an experienced Occupational Therapist and Joint Director of On Track Occupational Therapy.  James has worked in the Injury Management sector for over 12 years managing the treatment and rehabilitation of clients with Orthopedic, Neurological, General Medicine and Cardiac conditions. He has a special interest in musculoskeletal injuries noting a passion for best practice early intervention with clients aimed at deriving optimal functional outcomes that are translatable to meaningful and purposeful life pursuits.

He has extensive experience in assessment and provision of Activities of Daily Living skills training/upgrading programs; Worksite Assessments and Return to Work Programs; Functional Capacity Evaluations and assessment/prescription of home and workplace equipment and modifications. 

Coupled with a certification and experience in WHS consulting, James has worked in multiple injury management schemes and frameworks which has afforded him the opportunity to network and promote client engagement in community programs and initiatives aimed at maximising a client’s opportunity to fulfill their recovery potential and life goals. 


Current work pursuits include case management and rehabilitation within the schemes offered by the State Insurance Regularly Authority, Life Insurance sector and MyAged and NDIS schemes.

James specialises in the following areas:

  • Cancer

  • Stroke

  • Musculoskeletal injuries

  • Chronic conditions


For a full list of consultant and locations please contact us.


On Track OT have experienced Occupational Therapists and Rehabilitation Counsellors based in Brisbane, Melbourne, Sydney, the Hunter region and on the NSW South Coast.

All consultants are available to travel and we are available to travel Australia-wide upon request. 

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