Letter Cancellation Worksheets
Thirty graded pages for attention and visual scanning practice: single targets, then pairs, then case-sensitive rules. Easy to explain, quick to score, repeatable across sessions.
Instant download. Not right for your practice? Email us for a full refund.
- Designed by a registered occupational therapist
- 30 worksheets in three graded levels
- Instant PDF download, US Letter, print as many copies as you need
Want every attention set? See the Attention Worksheets Bundle, 165 pages

What is in the pack
Thirty worksheets in three levels, with name, date, error, and time fields on every page so performance can be tracked over time.





How to use it in a session
1
Pick the level
Start with a single target if scanning is effortful, move to pairs once that is steady, and use the case-sensitive rules when the client is ready for more.
2
Set the target
Read the instruction line together and confirm the target letters before starting the clock. Every page states its own rule.
3
Time it and count errors
Note the completion time and the number of missed or wrongly crossed letters in the fields at the bottom of the page.
4
Repeat or grade up
Ten pages per level means the same rule can be repeated on fresh letters, or stepped up to the next level when you decide the client is ready.
Download a free page from this set
The moderate-level B and V page (LCT2A) is free to download from our letter cancellation article, no email required.
Reviews
Frequently asked questions
What exactly do I get?
One PDF with 30 worksheets in three graded levels, plus divider pages and a contents page, in US Letter size. It is delivered instantly after checkout.
How is it graded?
Single letters, then pairs, then case-sensitive rules, with letter density rising across the levels so the same familiar format stays challenging.
Can I print it more than once?
Yes. It is a PDF you keep, so print fresh copies whenever you need them.
Is there a free sample?
Yes. One moderate-level page from this set is free to download from our letter cancellation article, no email required.
Is this a treatment program?
No. These materials support cognitive stimulation and structured practice. They are not medical treatment, and no specific therapeutic outcomes are claimed.
Thirty pages, three levels, ready to print
Add it to your cart and the PDF is yours right after checkout. Print what you need for the session and keep the file for the next one.
Instant download. Not right for your practice? Email us for a full refund. Secure checkout through Shopify.
These materials support cognitive stimulation and structured practice. They are not medical treatment, and no specific therapeutic outcomes are claimed.