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Welcome to Real OT Solutions!

Welcome to Real OT Solutions®—the leading resource for proven handwriting lessons and innovative teaching workshops. Here, we believe that the best way to practice handwriting is through consistent, engaging exercises that emphasize size and technique. Dive into our tailored products and transformative programs to see how we are revolutionizing the handwriting game for good!

  • About Dr. Bev

    With five decades of pediatric OT experience, Dr. Bev brings unstoppable passion for building student access, independence, and success – all through effective, efficient, affordable, and fun occupational therapy solutions.

    She’s not just an expert, she’s a passionate advocate for empowering kids through mastery and measurable outcomes.

    Dr. Bev and Real OT Solutions® are forward-thinking!

    Association (AOTA), a published researcher, and serves on advisory boards for several universities, including Temple University and Salus University. Her leadership helps shape the future of OT education and practice.

    Dr. Bev is also the creator and author of the Size Matters® Handwriting Program—a groundbreaking, evidence-based approach to handwriting instruction. She is the visionary behind the program’s success, combining research and real-world classroom insight to deliver proven results. Learn More

  • Proven. Practical.  Measurable.  Embeddable.

    When best handwriting practices meet best literacy strategies, you get SMHP: the Science of Handwriting™ that works. The Size Matters Handwriting Program® focuses on developing essential motor skills. The Science of Reading emphasizes structured phonics and comprehension skills. These two work together to create a holistic foundation and help students become functional readers and legible writers.

    Watch Our Video to Learn How SMHP Aligns With the Science of Reading 

  • September 15th & 16th, 2026

    Upcoming Workshops & Certifications

    Real OT Solutions® offers evidence-based online training and certification programs designed for therapists, educators, and intervention specialists.

    Join our engaging workshops to learn practical handwriting assessment techniques, intervention strategies, accommodations, and implementation tools you can apply immediately in educational and therapeutic settings.

    Sign Up Now! 

AOTA Approved Education Provider

Practicing for 50+ years

Official Size Matters Handwriting Program Provider

Evidence-Based Kids Results

Practical & Easy To Use Resources

Industry Trusted & Recognized

Live Webinars & Training

Featured Solutions

Proven Methods for Proven Results

Effective handwriting is best taught through structured, evidence-based approaches that prioritize size and consistency. Our proven resources use this approach to empower students and enhance their writing skills. Explore them now!

How Do I Get Started?

Find the Best Deals on Our Starter Kits

Jumpstart better handwriting today with our all-in-one starter kits for handwriting practice. Packed with essential tools and engaging handwriting lessons, these kits make it easy to create fun, effective, and lasting handwriting experiences. Start your journey toward confident, legible writing now!

50+ Years of Experience
5 Peer-Reviewed Studies
20+ Capstone Research Projects
GLOBAL Available in 50 States & 5 Continents

Foundational Learning Tools

  • A, B, C Block

    Early Learning

    Get essential tools for early childhood development! Our resources support children’s learning with fun, individualized activities that foster fine motor skills and a love for learning.

    Shop Now 

  • Size Matters Handwriting Program®

    The Size Matters Handwriting Program® focuses on letter size to develop clear, legible writing. It promotes confidence in young learners through engaging handwriting lessons.

    Shop Now 

  • Adapted Handwriting Paper

    Our adapted handwriting paper enhances writing skills for all children. It features bold baselines and increased space to support varied learning needs and boost confidence in writing.

    Shop Now 

  • The Cutting Program

    Turn scissors into smiles! Explore our interactive scissor practice worksheets that make cutting fun while helping children improve hand-eye coordination and dexterity through playful, structured exercises.

    Shop Now 
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Testimonials

Hear from educators, therapists, and parents about the positive impact our evidence-based solutions have had on handwriting practice.

  • "The teachers can't believe how quickly the kids caught on."

    Tammy Murray

    - Author

  • "I simply love SMHP, and how it's helped my students, THAT much! The ship has NEVER sailed for letter/number, line orientation and spacing for handwriting legibility.  Try the *evidence-based* Size Matters Handwriting Program. I've been using it for 3+ years now with much success. It's SO simple and intuitive, that I could do it in the soil with a stick (if I had to), and get results! There's even fun to it that facilitates student buy-in!"

    Melodie OTR/L

    - Author

  • "Beverly, I just want you to know that I am using the paper, playing the dice game, talking about the size of the letters, and scoring their writing pages!!!! They all love it and I have seen changes already!!!! Thank you for such an awesome program!!!!"

    Michele Pettenati COTA/L Cattaraugus Allegany BOCES

    - Author

  • "I just have to tell you, I've been using parts of the program for the last week with most of my students in Occupational Therapy Services. I have the biggest smile and feel like jumping for JOY when I write my notes. Most of my students can pick up on the easy/fun instructions. Almost all the letter spacing has improved with Spaghetti and Meatballs. Almost all the letter size has improved with the Size Numbering 1,2,3. IT'S A MIRACLE. Thanks a MILLION."

    Del Alexander, COTA/L

    - Author

  • "I have used the SMHP during (the) last school year and I love it! And most importantly the kids love it! I have had so much success with this program with all of my kids, but one in particular comes to mind. I had tried everything from different paper to grips with no success. The very first time I introduced this to them most of their letters were inside the boxes!"

    Brittany Morel, COTA

    - Author

  • "The SMHP is the first program I have implemented that the kids are actually EXCITED to try and practice making letters....Teachers pick up on the terminology quickly and generally I find they are supportive to use consistent language etc... As a therapist it’s the first handwriting program that I have ever been passionate about! Highly recommend to all...thank you Beverly Moskowitz!!"

    Meghan Morse, OT

    - Author

  • "This is a phenomenal program - one that I have seen great results (with)....I'd definitely use size matters"

    Mary Bryda Santini

    - Author

  • "I had heard of the Size Matters Handwriting Program just prior to the AOTA conference in Chicago this past spring. I was able to speak with you at the conference, purchase a manual, and watch some YouTube videos. I recently purchased your self-study webinar series and am excited to learn more."

    Karen Szatalowicz, MHS, OTR/L C.A.S.E. Staff Occupational Therapist

    - Author

Who Are We?

Real OT Solutions® is your hub for powerful, evidence-based tools – supporting everything from printing and cutting to professional training and teaching workshops for certification! We’re dedicated to delivering effective, efficient, affordable, and fun solutions for handwriting, scissor skills, and drawing, along with continuing education courses for professionals.

Learn More About Us
Close-up of a child tracing size one handwriting patterns with a pencil in a handwriting practice workbook.

Free Handwriting Resources

Click the button below to access the Free Downloads form! 

Sign up today, and we will send you the free handwriting practice resources the next business day, delivered straight to your inbox. You will also be subscribed to stay up to date with the latest news from Real OT Solutions® through our newsletter.

Free Downloads Here
Become a Real OT Solutions affiliate

Affiliate Programs

Love SMHP? If you have a social media presence, you're eligible to become a Real OT Solutions® Business Affiliate to help us spread the Science of Handwriting™ while earning rewards!

If you've completed the Size Matters Handwriting Program® Tier Two Certification course, you're eligible to become a Real OT Solutions® Professional Affiliate.

Learn More

Bring SMHP® to Your School

Give every classroom the same evidence-based path to confident, legible handwriting. Our school-wide implementation model helps administrators roll out the Size Matters® Handwriting Program across grade levels, kindergarten through third grade and beyond, with bulk pricing, staff training seminars, and AOTA-approved continuing education credits built right in.

SMHP® is grounded in the Science of Handwriting™ and aligns with the Science of Reading movement your district may already be embracing, giving teachers a concept-driven approach they can use every day and giving you the assessment tools to track progress at the student and school level.

Ready to see what a structured, research-backed program can do for your district? Explore our handwriting program for schools and start planning your rollout today.

Plan Your School Rollout

Purchase Orders & Tax-Exempt School Purchases

Schools, districts, and other tax-exempt organizations can purchase the Size Matters® Handwriting Program using a purchase order. To ensure sales tax is not applied, please submit your purchase order and applicable tax-exempt documentation before completing your purchase. Our team will review your information and return a quote, including appropriate shipping and handling charges. Use the quote to create your Purchase Order.

If you have questions about placing a purchase order or your organization’s tax-exempt status, we’re happy to help. Contact us before ordering so we can make the purchasing process as smooth as possible.

Real OT Blog

Discover expert insights and practical tips for enhancing handwriting skills and occupational therapy practices with the Real OT Solutions® blog.

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  • Kids drawing in school

    Importance Of Fine Motor Skills In Early Childh...

    Real OT Solutions helps your children develop fine motor skills in early childhood through an evidence-based approach to mastering handwriting, cutting, and drawing skills so they’re more independent, confident, and creative.

    Importance Of Fine Motor Skills In Early Childh...

    Real OT Solutions helps your children develop fine motor skills in early childhood through an evidence-based approach to mastering handwriting, cutting, and drawing skills so they’re more independent, confident, and creative.

  • Pencil tracing letters to learn how to write in cursive

    Teaching Kids How to Write in Cursive: Advice F...

    Learning how to write in cursive is shown to be highly effective for children with various conditions, including dysgraphia and autism. This piece will give you tips on how to do it from home!

    Teaching Kids How to Write in Cursive: Advice F...

    Learning how to write in cursive is shown to be highly effective for children with various conditions, including dysgraphia and autism. This piece will give you tips on how to do it from home!

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