Background: Reading is one of the highlighted skills in learning. Hearing impairment can be lead to reading disorder in children with hearing impairment. The aim of occupational therapy is education, cognition, evaluation and as well as removing barriers to learning.  

Method: This is a case study about a student with hearing impairment and reading disorder. Primary evaluations performed on three dimensions: physical, mental and psychological. Assessment tools were included: observation, interview with teachers and parents, hearing tests, attention test and so on. After assessment, according to the results, the sessions were prepared. Also, strategies were suggested to parents.

Results: Primary assessment presents the signs of anxiety and low self-esteem. Cognitive problems include deficit of visual and auditory memory, auditory discrimination, limitation of vocabulary and comprehension. The mean speed of reading was about 14 words in a minute and it was increased to 20 words in a minute at the end of sessions. Abilities of student were improved in all domains of cognition with except auditory discrimination.

 Conclusion: If the teachers be aware of some inabilities in students and apply the useful strategy, the ability of students will be improved.