See a pediatric behavioral optometrist. That's a vision issue and one we had with DS7 before he had vision therapy. At 4 yrs old, DS knew his shapes and letters but barely scribbled and still had poor eye-hand coordination despite 4 yrs of OT. During the first months of vision therapy, DS did a lot of tracing with circles, squares, and triangles.
DS was also born with hypotonia, sensory issues, dyspraxia, visual deficits, etc. Then again, DS was also born with torticollis and that was also tied to visual deficits and a reason why we sought out a behavioral optometrist.
An OT will help only to a point. A pediatric behavioral optometrist, on the other hand, will be able to address the visual issues more directly with ambient lens glasses, yoked prism glasses, and specially designed daily/weekly vision exercises. Between the glasses and exercises, a child's brain and eyes can be re-trained and re-wired.
OT should be able to refer you to a pediatric behavioral optometrist, but they don't always. Ironically, I got the name of my son's former behavior optometrist from some mothers who shared the same OT office as us. So word of mouth can be effective too.
