The ability to clearly articulate the distinct contribution of occupational therapy across practice settings is essential for promoting the value of the occupational therapy profession. Challenges to documenting occupation-based interventions have been identified by practitioners working in medically dominated contexts. Clear articulation of services results from a thorough understanding of the theoretical views, models of practice, and frames of reference guiding the occupational therapy profession. Treatment provision that is grounded in occupation-based theories, models of practice, and frames of reference can facilitate the production of quality documentation. This evidence-based project serves to inform entry-level occupational therapy educators on the challenges practitioners experience when documenting occupation-based interventions. Recongnizing and understanding identified challenges can lead to the development of effective teaching strategies that promote student articulation of occupation-based interventions while utilizing the profession’s distinct language and core concepts of occupation.