Tota Member Registration
First Name
Middle Name
Last Name
Tota ID (if known)
Address (include apartment #)
City
State
Zip
Home Phone
Work Phone
Cell Phone
Fax
Email
TX OT license #
AOTA member #
TOTA Membership District
Membership Category
Areas of Practice or Interest Administration/Management
Developmental Disabilities
Education
Gerontology
Hand/Upper Extremity
Home Health
Mental Health
Physical Disabilities
Private Practice
School-based Practice
Sensory Integration
Work Programs
Technology
Research
Wellness
I would like to share my knowledge/expertise with the Texas Rehabilitation Commission(TRC).