An emerging area of practice in occupational therapy is home construction, modification, and renovation industry. Occupational therapists offer a client-centered and occupation-based approach to home modifications with their expertise and unique ability to identify the best person-environment fit; making them an integral part of the home modification team. The home environment will facilitate or inhibit success when considering a client’s engagement in occupational routine and performance. This capstone project defines a business proposal for occupational therapists to become leaders in the home modification and construction industry. The goal of this consultative business model is to develop and further define the role of occupational therapists as an integral part of the home modification and construction industry.