I am an OT and what the other mothers have said is correct. The OT will engage your child in fine motor strengthening activities in a fun, playful manner. There are many things you can do at home and the OT you meet with should give you some ideas. Encourage the correct pencil, scissor grasp at home as well. Have your preschool teacher write a letter with your concerns to give to the public schools and the OT in the schools can evaluate and treat even if she doesn't go to school there yet. That will save you on co-pays. Although outpatient pediatric OT will be more 1:1 and intense than what you can probably get in the school. Good luck.