Independent Practice Application Package

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Application Package
Independent Practice
For Physiotherapists Who Are Currently Registered
in Another Canadian Province/Territory
April 2016
©2016 College of Physiotherapists of Ontario
Independent Practice Application Package
Independent Practice is the College’s general registration category. If you have passed the Physiotherapy
Competency Exam or an equivalent and wish to use the title of physiotherapist or physical therapist in
Ontario you are required to hold an Independent Practice certificate.
This package includes an application form and guide for applicants who are currently registered in another
Canadian jurisdiction.
Section 1
Independent Practice Application for Registration Guide
page 3
Section 2
Independent Practice Application Form
page 10
For questions about registration and applying to the College, please contact:
Entry to Practice team
416-591-3828 ext. 222
or 1-800-583-5885 ext. 222
registration@collegept.org
College of Physiotherapists of Ontario
375 University Avenue, Suite 901, Toronto, ON M5G 2J5
Tel: 416-591-3828 or 1-800-583-5885 | Fax: 416-591-3834 | www.collegept.org
Page 2
The College of Physiotherapists of Ontario is committed to the principles of labour mobility and the
movement of registered physiotherapists/physical therapists across Canadian provinces as articulated
in the Agreement on Internal Trade (AIT) 2009 (Chapter 7).
A Brief History of the Agreement on Internal Trade
The Agreement on Internal Trade is an undertaking of the federal, provincial and territorial governments in
Canada to eliminate labour mobility barriers between provinces and territories. The objective is to make it
possible for any worker qualified for an occupation in one part of Canada to have access to employment
opportunities in that occupation in any other province or territory.
The Agreement on Internal Trade became law in Ontario with the introduction of the Ontario Labour
Mobility Act (OLMA) in 2010.
Does the Agreement on Internal Trade Apply to Me?
The movement of physiotherapists/physical therapists under the Agreement on Internal Trade is based on
the similarities of categories of registration, otherwise known as permit on permit.
If you are a physiotherapist who is currently registered with a practice certificate/licence in another
Canadian jurisdiction, your application to register in Ontario will be considered under the rules of the labour
mobility agreement as follows:
Where the registration categories are similar, no new requirements will be expected with the exception of a
review of previous discipline history and other administrative matters (e.g. fees, form, liability insurance).
Where the categories of registration are not similar, the College’s existing registration requirements apply.
Currently Registered in Another Canadian Province/Territory—Independent Practice Application for Registration Guide
Section 1—Page 3
Applying for Registration for Independent Practice
from another Canadian Province Application Guide
The College of Physiotherapists of Ontario is pleased to provide this guide to help you complete your
application for an Independent Practice certificate. Please review this guide prior to completing your
application form.
Practice Name
You are required to ensure that the name you use in practice is the same as the way that your name
appears on the Public Register. Your practice name will appear on the College’s Public Register.
The Public Register is a list of all currently registered and past registered physiotherapists in Ontario.
It provides the public with the physiotherapist’s information and history with the College and acts as
proof of registration for physiotherapists.
Previous Last Name
Enter your previous last name(s) if you have changed your name since completing your physiotherapy
education. If the name which you wish to register under is different than the name on your educational
qualifications or your immigration or citizenship documents, you must provide a photocopy of your
marriage certificate, divorce decree, or legal name change document.
Home Mailing Address
Please provide your home mailing address. The College will occasionally mail you important
information. The College does not provide your home address to any source outside the College, unless
you have indicated that this is also your business address. Please ensure that you provide complete
information.
Email Address
The College requires that all members have an active email address used for communication with the
College. Confidential information may be sent by email, so please ensure that the email address that
you provide is secure.
Language(s)
Indicate the languages in which you are capable of providing physiotherapy services. This information
will be provided to members of the public who are seeking physiotherapy services in a specific language.
You must also indicate the language in which you prefer to receive official documents. The College will
attempt to accommodate this preference whenever possible.
Education
Provide information about your initial physiotherapy education in this section. Include the name of the
educational program, the year of graduation, the academic institution and the location of the academic
institution (province/state if Canada or US and country).
Currently Registered in Another Canadian Province/Territory—Independent Practice Application for Registration Guide
Section 1—Page 4
When asked to provide additional physiotherapy education and other education, please provide
information about any other formal education that you completed. The College does not require
information about continuing education programs or certifications. Only programs where degrees are
granted should be included in this section.
Eligibility to Work in Canada
To register with the College you must be legally eligible to work in Canada. This means you must provide
one of the following with your application:
1. Proof of Canadian Citizenship
A photocopy of your Canadian birth certificate, a photocopy of your Canadian passport photo
page or a photocopy of both sides of your citizenship card must be provided as proof of
Canadian citizenship.
2. Permanent Resident/Landed Immigrant of Canada
A photocopy of your permanent resident card or document must be included
with your application.
3. A valid work permit
A photocopy of your valid work permit indicating that you are eligible to work in Canada must
be included. This work permit must not prohibit you from working as a physiotherapist.
Your Practice History in Physiotherapy
The College is required to provide de-identified information to the Ministry of Health and Long-Term
Care which is used for health human resources planning and to better understand labour mobility
patterns.
Professional Conduct
If you answer YES to any questions, please provide further information. Your application will then
be referred to the Registration Committee for a decision related to your registration application. The
College will contact you to inform you of the process and what to do next.
Practice Hours
Please list your practice hours for each of the last five years. Practice hours may be claimed for
employment or other activities resulting from the possession of physiotherapy credentials and
experience.
Work Hours Include:
•
practice in a clinical setting,
•
consultation,
•
administration,
•
academia,
•
sales,
•
hours related to vacation, sick leave, statutory holiday, leaves of absence and special leaves are
not included
Currently Registered in Another Canadian Province/Territory—Independent Practice Application for Registration Guide
Section 1—Page 5
Professional Activity Hours Include:
•
volunteer activity which require the use of physiotherapy theory and knowledge,
•
continuing education hours and/or participation in physiotherapy professional/regulatory
organizations,
No more than 30 professional activity hours per year can be counted towards total practice hours.
Professional Liability Insurance
According to the College’s by-law on professional liability insurance, if you are going to provide patient
care, you are required to hold professional liability insurance. You must declare that you have or will
have professional liability insurance before you begin to provide patient care in Ontario.
Professional liability insurance should:
1. Be obtained individually or through your employer
2. Have a minimum coverage of $5 million for any one patient and for the policy year
3. Have no deductible
Patient Care
The College defines Patient Care as assessing people for physiotherapy needs, consulting with people,
and providing treatment in settings such as schools, companies, fitness centres, or institutions. It
includes weekend and relief work, and taking over when someone is on vacation. If you assign others to
work with patients, the College also considers this to be patient care. One interaction with one patient
per year is defined as patient care.
Registration, Licensure & Past Practice
When applying under the Agreement on Internal Trade, you must be registered in another Canadian
province to practice Physiotherapy. You must provide the College with proof of registration/ licensure
AND good standing. You can submit any one of the following:
•
a letter of professional standing,
•
verification of registration form, or
•
by providing the College with a website address where the information can be verified online
Letters of professional standing must be dated within six (6) months of the application date.
You must also declare to the College any other locations you have practiced physiotherapy or have
been licenced to do so. In places where a regulatory body exists, you must provide proof of registration/
licensure AND good standing for all regulated locations.
Currently Registered in Another Canadian Province/Territory—Independent Practice Application for Registration Guide
Section 1—Page 6
Information about Your Work Site
The College collects details about each work site that you are working at. This means that if you work for
one employer, but at two different work sites, you need to provide information about each location. This
information is made public on the College Public Register and must be accurate and up-to-date. You must
notify the College of any change to your employment within 30 days of the change happening.
Declaration
You must sign, check off and date the declaration section of the form in order for your application for
registration to be complete. The declaration confirms that all of the information you have provided in the
application is true and correct. If you provide incorrect or false information, you could be denied registration
or any registration issued to you could be revoked (taken away).
Currently Registered in Another Canadian Province/Territory—Independent Practice Application for Registration Guide
Section 1—Page 7
General Application Information
Incomplete Applications
Applicants who submit incomplete applications will be notified by email. A list of missing documentation
will be provided. Applications will not be processed until they are complete. The processing time for
applications will not begin until the completed application, all additional documentation and fees
have been received.
Processing Time
The College will attempt to process your application for registration within ten business days of
receiving the completed application form and all required documentation. If there is doubt whether your
application meets all of the registration requirements, it will be referred to the Registration Committee
for review.
You will be contacted by College staff with more information if your application is referred to the
Registration Committee. Longer timelines will apply under these circumstances.
Confirmation of Registration
An email will be sent to you to confirm your registration once your application has been processed.
Privacy
The personal information collected on this form is used by the College of Physiotherapists of Ontario for
its regulatory purposes (e.g., the registration and identification of College members, the administration
of statutes governing physiotherapists in Ontario and the administration of the College) and to develop
and provide statistical information for human resource planning, demographic and research studies and
eHealth Ontario. It is collected under the authority of the Regulated Health Professions Act, the Health
Professions Procedural Code, the Physiotherapy Act and the regulations and by-laws made under the
authority of these statutes. The College does not sell this information, nor does it provide the information
to commercial entities in a format that facilitates mass marketing. For more information about the
Privacy Code, please contact the College.
Document Retention
The College has moved to electronic maintenance and storage of member files. Electronic copies of
member applications and documents will be stored indefinitely. When you submit your application to the
College, if there are any hard copy documents that you would like us to return to you, please let us know.
Currently Registered in Another Canadian Province/Territory—Independent Practice Application for Registration Guide
Section 1—Page 8
Document Checklist
Please ensure that your application includes all of the following:
Independent Practice Application Form
A photocopy of Canadian citizenship, permanent resident status or an authorization
under the Canadian Immigration Act to work in Ontario
Proof of registration/licensure and professional standing in all other jurisdictions
where you have been registered/licenced as a physiotherapist
The appropriate fees
If this applies to you:
A photocopy of your name change document
Currently Registered in Another Canadian Province/Territory—Independent Practice Application for Registration Guide
Section 1—Page 9
INDEPENDENT PRACTICE APPLICATION FORM
This form is for all members who are currently registered Physiotherapists in any other Canadian province/territory
under a similar registration category who wish to apply under the Agreement on Internal Trade. The member must
have a valid registration and submit a verification of good standing from that jurisdiction.
1. Personal Information
Last name: ____________________________ Previous Last Name: ___________________________________
(if you had a different last name in the past, please provide it)
First name: ________________________________________ Middle name: ______________________________
Name you use to practice physiotherapy: _________________________________________________________
Home address: _____________________________________________________________________________
City/Town:
_____________________________________________________________________________
Province: ______________________Country: ___________________________Postal code: _______________
Home telephone: __________________________________ Cell phone: ________________________________
Email: _____________________________________________________________________________________
Birth Date: ___________________________________
Gender:  Female
 Male
(mm/dd/yy)
2. Language
I can provide physiotherapy services in: (choose all that apply)
 English
 French
 Other: _________________________________________________
I prefer to receive College documents in*: (choose one)
 English
 French
*Communication is primarily in English and this selection will be accommodated for official documents only whenever possible.
FOR OFFICE USE ONLY
Date Received: ______________________________ Date Complete: ____________________________
Registration Date: ___________________________ Registration Number: _______________________
Processed By: _______________________________Pre-Registered:
 Yes
 No
Currently Registered in Another Canadian Province/Territory—Independent Practice Application Form
Section 2—Page 10
3. Education
3.1 Initial Physiotherapy Education
What is the initial physiotherapy education you completed?
Level of Education:
 Diploma
 Baccalaureate
 Masters
 Professional Doctorate
 Other: ___________________________________________________ Year of Graduation: _______________
Name of Educational Institution: ________________________________________________________________
Province/State: ___________________________________ Country: ____________________________________
3.2 Do you have more Physiotherapy Education?
Starting with the most recent, please tell us about formal physiotherapy programs where you obtained a degree or
diploma after your initial physiotherapy education?
Level of Education:

Baccalaureate

Master

Professional Doctorate

Doctorate

Baccalaureate

Master

Professional Doctorate

Doctorate

Baccalaureate

Master

Professional Doctorate

Doctorate
Name of Educational Institution:
Name of Educational Institution:
Name of Educational Institution:
Province/State:
Province/State:
Country:
Country:
Year of Graduation:
Year of Graduation:
Province/State:
Level of Education:
____
Country:
_
_____
Year of Graduation:
___
Level of Education:
3.3 Education Other than Physiotherapy
Please tell us about other formal education where you obtained a degree or diploma. The College does not require
information about all continuing education courses.
GRS
MLS
HAM
PAD
PHE
KIN
GER
PSY
OHP
BBS
General Rehabilitation Science
Medical Laboratory Science
Health Administration/ Management
Public Administration
Public Health
Kinesiology/Exercise Science
Gerontology
Psychology
Other Health Profession/Related Clinical Sciences
Biological and Biomedical Sciences
PHY
SAH
EDU
LAW
BMM
MCI
ENG
OSC
OFS
Physical Sciences
Social Sciences, Arts and Humanities
Education
Law
Business, Management, Marketing and Related
Mathematics, Computer Information Sciences
Engineering
Other Sciences
Other Field of Study
*Field of Study— Please use the applicable 3 letter code in the above section
*Field of Study:
Level of Additional Education:

Diploma

Baccalaureate

Master

Professional Doctorate

Doctorate
*Field of Study:
Level of Additional Education:

Diploma

Baccalaureate

Master

Professional Doctorate

Doctorate
*Field of Study:
Level of Additional Education:

Diploma

Baccalaureate

Master

Professional Doctorate

Doctorate
Currently Registered in Another Canadian Province/Territory—Independent Practice Application Form
Section 2—Page 11
Name of Educational Institution:
Name of Educational Institution:
Name of Educational Institution:
Province/State:
Province/State:
Province/State:
____
Country:
____
Country:
Year of Graduation:
___
____
Country:
Year of Graduation:
___
Year of Graduation:
___
3.4 Educational Bridging Program
Did you complete an Ontario Bridging Program for Internationally Educated Physiotherapists?
 Yes
If yes, what year:
Where:  Ryerson University  University of Toronto
 No
4. Information about the Physiotherapy Competency Exam
I have successfully completed the written and clinical components of the Physiotherapy Competency Examination (PCE):
 Yes
If yes, date of completion:
 No
5. Registration, Licensure and Past Practice
5.1 Your practice of PHYSIOTHERAPY IN ONTARIO:
Have you ever been registered to practice physiotherapy in Ontario?
 Yes:
I was registered from: _____________ to ____________ Registration number: ________________
 No
5.2 Your practice of PHYSIOTHERAPY OUTSIDE OF ONTARIO:
Please provide details of all locations you have practiced physiotherapy or have been licenced to do so outside of Ontario:
Province/State
Country
Licence/Reg. No.
Dates
____________________
________________________ _______________________ ____________________
____________________
________________________ _______________________ ____________________
____________________
________________________ _______________________ ____________________
Currently Registered in Another Canadian Province/Territory—Independent Practice Application Form
Section 2—Page 12
5.3 Your practice in OTHER PROFESSIONS:
Have you ever been registered or licenced in any other regulated health profession?
 Yes: Please provide details to all locations and regulated professions.
 No
Profession
Province/State, Country
Licence/Reg. No.
Dates
____________________
________________________ _______________________ ____________________
____________________
________________________ _______________________ ____________________
____________________
________________________ _______________________ ____________________
6. Your Practice History in Physiotherapy
By law, The College must provide general information about the physiotherapy profession to the Ministry of
Health and Long Term Care in Ontario. We do not give the Ministry your name or link your name to the answers
you provide below. You must answer these questions.
6.1 . Is Canada or the United States the first country where you have practiced physiotherapy?  Yes
 No
a.
If yes:
Which province or state did you practice in?_________________________
What Year did you first register there?___________
b.
If no:
Where was the first Country you practiced? ____________________________________
What was the name of the province or state? ___________________________________
What Year did you first start? __________________________
6.2 Is Canada or the United States the most recent previous Country of practice?  Yes  No
a.
If yes:
Which province or state did you practice in?_________________________
When did you last practice?_________________________
b.
If no:
Where is the most recent previous country you practiced Physiotherapy?____________________
What was the name of the province or state? ___________________________________
Are you still practicing Physiotherapy or registered in this country?
 Yes If yes, what is the expiry date? ___________________________________
 

 No
Currently Registered in Another Canadian Province/Territory—Independent Practice Application Form
Section 2—Page 13
7. Professional Conduct
If you answer YES to any of the following questions please provide more information.
7.1 Have you ever had a finding of professional misconduct, incompetence or incapacity against you?
 No
 Yes
If Yes, Where? _____________________ When? ____________________
More information:
7.2 Have you ever had an application for a physiotherapy practice certificate or licence refused?
 No
 Yes
If Yes, Where? _____________________ When? ____________________
More information:
7.3 Have you ever had a physiotherapy practice certificate or licence suspended or taken away (revoked)?
 No
 Yes
If Yes, Where? _____________________ When? ____________________
More information:
7.4 Have you ever been found guilty of an offense, professional negligence or malpractice?
 No
 Yes
If Yes, Where? _____________________ When? ____________________
More information:
8. Practice Hours Requirement
List all practice hours for the previous 5 years, beginning with the most recent year.
Please note that practice includes employment or other activities resulting from the possession of physiotherapy
credentials and experience. Practice hours include worked hours and professional activity hours. Worked hours
include hours of practice in a clinical setting, consultation, administration, academia and sales. Hours related to
vacation, sick leave, statutory holidays, leaves of absence and special leaves are not included.
Professional activity hours include hours of volunteer activity which require the use of physiotherapy theory and
knowledge, continuing education hours and/or participation in physiotherapy professional/regulatory organizations.
No more than 30 professional activity hours per year may be counted toward total practice hours.
Year
Practice Hours Completed
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
Currently Registered in Another Canadian Province/Territory—Independent Practice Application Form
Section 2—Page 14
9. Professional Liability Insurance
Physiotherapists involved in patient care are required to hold professional liability insurance that meets the by-law
requirements related to professional liability insurance as described in the application guide.
 I am compliant with the College’s by-law on professional liability insurance or I will be compliant prior
to commencing patient care.
10. Information about your Work Site
Please complete the employment information for each site where you will be working. Work site #1 is the site that you
are at most of the time. Each employment site must have a complete business address. All employment information is
public and will be available on the Public Register.
Do you work at more than three employment sites?
Yes*
No
*If yes, please attach additional pages and provide all required information about each site.
Work Site #1
Name of Work Site
Start Date
Street Address
City
Province/State
Country
Postal Code/Zip Code
Business Phone No.
Ext.
Fax No.
Work Site #2
Name of Work Site
Start Date
Street Address
City
Province/State
Country
Postal Code/Zip Code
Business Phone No.
Ext.
Fax No.
Work Site #3
Name of Work Site
Start Date
Street Address
City
Province/State
Country
Postal Code/Zip Code
Business Phone No.
Ext.
Fax No.
Currently Registered in Another Canadian Province/Territory—Independent Practice Application Form
Section 2—Page 15
Your Position Type
Please choose only one per site.
First Site
Second Site
Third Site
Permanent Employee



Temporary (Contract) Employee



Casual Employee



Employee (Other)



Self-Employed



Which Do You Work?
Please choose only one per site.
First Site
Second Site
Third Site
Full-time



Part-time



Casual



Your Position or Job Title
Please choose only one per site.
First Site
Second Site
Third Site
Manager



Owner/Operator



Service Provider



Consultant



Administrator



Instructor



Researcher



Quality Manager



Sales Person



Other



Describe Your Worksite
Please choose only one per site.
First Site
Second Site
Third Site
Hospital



Solo Professional Practice



Group Professional Practice



Rehabilitation Facility



Residential/Long-Term Care Facility



Visiting Agency/Business (Client’s Environment)



Community Care Access Centre (CCAC)



Post-Secondary Educational Institution



Assisted Living Residence/Supportive Housing



Community Health Centre (CHC)



Family Health Team



Currently Registered in Another Canadian Province/Territory—Independent Practice Application Form
Section 2—Page 16
School or School Board



Children’s Treatment Centre (CTC)



Other Pediatric Facility



Cancer Centre



Mental Health and Addiction Facility



Fitness Centre



Association/Government/Regulatory or Similar



Board of Health or Public Health



Telephone Health Advisory Services



Health-Related Business/Industry



Other Industry—Manufacturing and Commercial



Spa



Correctional Facility



Nurse Practitioner Led Clinic



Group Health Centre (Sault Ste. Marie only)



Other



What is the focus of your Practice?
Please choose only one per site.
First Site
Second Site
Third Site
Clinical Focus on Musculoskeletal System



Clinical Focus on Neurological System



Clinical Focus on Cardiovascular & Respiratory System



Clinical Focus on Skin & Related Structures



Clinical Focus on More than One System



Non-Clinical Focus



What is the main area of Practice you are involved in?
Patient Care:
Please choose only one per site.
First Site
Second Site
Third Site
General Practice



Sports Medicine



Burns and Wound Management



Plastics



Amputations



Orthopedics



Rheumatology



Vestibular Rehabilitation



Currently Registered in Another Canadian Province/Territory—Independent Practice Application Form
Section 2—Page 17
Women’s Health/Uro-genital



Cancer Care



Geriatric Care



Chronic Disease Prevention and Management



Cardiology/Cardiovascular



Continuing Care/Long-Term Care



Public Health



Critical Care/ICU



Mental Health and Addiction



Neurology/Neuroscience



Respirology/Cardio-respiratory



Health Promotion and Wellness



Palliative Care



Return to Work Rehabilitation



Ergonomics



Other Area of Direct Service



Infectious Disease Prevention and Control



Emergency



Client Service Management/Case Management



Consultation



Administration



Teaching (Physiotherapy entry-level)



Physiotherapy-Related Continuing Education Teaching



Other Teaching



Quality Management



Research



Sales



Other: Area of Practice
What job sector do you work in?
Please choose only one per site.
First Site
Second Site
Third Site
Public Sector



Private Sector



Combination of Public and Private



Not Sure



Currently Registered in Another Canadian Province/Territory—Independent Practice Application Form
Section 2—Page 18
Main Category of Patients
Please choose only one per site.
First Site
Second Site
Third Site
All Ages



Pediatric



Adult



Geriatric



Do you provide patient care?
Please choose only one per site.
First Site
Second Site
Third Site
Yes



No



The College defines Patient Care as any component of assessment, analysis of findings or provision of treatments to patients
for whom you are directly responsible. This includes the assignment of any portion of care to support personnel.
Note: This includes roles involving assessment, consultation or provision of treatment in schools, industry, fitness centres, occasional
weekend or relief work or short-term vacation coverage. Even an interaction with one patient per year is defined as patient care.
Are you accepting new patients?
Please choose only one per site.
First Site
Second Site
Third Site
Yes



No



This information will be used to assist the public in locating a physiotherapist.
In your main work site, do you prefer to work:
Full-time
Casual
Part-time
Not applicable
Currently Registered in Another Canadian Province/Territory—Independent Practice Application Form
Section 2—Page 19
11. Fees
All fees are prorated based on the day the application is processed. By checking off one of the selections
below, you are agreeing to be charged up to the maximum indicated. If you are paying by cheque please
indicate the maximum amount possible in that date range. Once the cheque is processed, you will be
refunded back the amount you have overpaid. Please select the corresponding timeframe that
applies to you.
Application Fees
Fee
Check Selection
$100.00

Fee
Check Selection
On or Between April 1st to June 30th
Max. $595.00

On or Between July 1st to September 30th
Max. $446.66

On or Between October 1st to December 31st
Max. $296.86

On or Between January 1st to March 31st
Max. $146.71

Application Fee
If you Register:
Credit card payment (Please note: the College of Physiotherapists of Ontario does not accept Visa Debit)
 Visa
 MasterCard
Card Number:
Authorized payment amount: $
Expiry Date:
Cardholder’s Name:
Cardholder’s Signature:
_____________________
12. Additional Information
Please provide any additional information that you want the College to be aware of:
Currently Registered in Another Canadian Province/Territory—Independent Practice Application Form
Section 2—Page 20
13. Declaration
 I hereby certify that the statements made by me in this application are complete and correct
to the best of my knowledge and belief. I understand that a false or misleading statement may
disqualify me from registration or may be cause for any registration which may be granted to
me to be taken away (revoked).
 I understand that I must notify the College through the online registration system, or in writing
by fax, email or mail of any change to my address, phone number or employment information
within thirty days of the change occurring.
Applicant Signature
Date (mm/dd/yyyy)
Please note: The College maintains electronic copies of all application forms and submitted
documents indefinitely.
Please return this form to the College, by using any of the three methods below.
Hours of Operation: Monday–Friday (excluding statutory holidays) 8:30am–4:30pm
By mail or in person:
College of Physiotherapists of Ontario
ATTN: Entry to Practice Associate
375 University Avenue, Suite 901
Toronto, ON M5G 2J5
By fax:
416-591-3834
By scanning and emailing:
registration@collegept.org
Tel: 416-591-3828 ext. 222
Toll-free: 1-800-583-5885 ext. 222
Currently Registered in Another Canadian Province/Territory—Independent Practice Application Form
Section 2—Page 21
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