The aim of this pilot study was to develop and try out a form for clinical examinations in which theory and practice were integrated. Based on the course goals, a work procedure for the clinical examination of occupational therapy students and assessment criteria were developed. A pilot group of students and supervisors attained the new form for examination and a control group of students and supervisors attained the usual form for examination. The results show that the students and supervisors/head supervisors in the pilot group were satisfied with this new examination form. The students accentuated the importance of reflection in connection with the examination and the opportunity for direct response. The supervisors pointed out the value of connection to theoretical education and that the examination increases the status of practical knowledge. However, the pilot study needs to be tried in a larger scale, within several fields of action, and more people need to be educated about assessment.