Sometimes, an occupational therapist (OT) may suffer from a mental or physical condition that affects his or her ability to practice. “Incapacity” is the term used when an OT can’t practice safely or effectively for these reasons.

When information about an OT's capacity or 'fitness to practice' is brought to the attention of the College, the College will look into the matter. The College must ensure there is no risk to client safety and care.

The College Registrar may conduct an inquiry and report the findings to the College's Inquiries, Complaints and Reports Committee (ICRC). The ICRC may establish a Panel to investigate. Based on the Panel's findings, the ICRC can refer a case to the Fitness to Practise Committee in cases of possible incapacity. The Fitness to Practise Committee may then conduct a hearing.

Because of the nature of the issues involved in these cases, hearings are generally closed to the public. However a summary of the decisions are available to the public at the conclusion of the hearing. The summary is posted under the Find an Occupational Therapist.

The Committee may impose some or all of the following:

  • a reprimand
  • restrictions on an OT’s registration (called terms, conditions or limitations)
  • suspension or revocation of an OT’s registration

​The Fitness to Practice Committee does not seek to punish the OT for any wrongdoing as the Committee focuses on rehabilitative measures. The Committee aims to make sure the practice of an OT with capacity issues is monitored or restricted in the interest of public protection. 

If you have questions about fitness to practice, please contact practice@coto.org or 416.214.1177/1.800.890.6570 x240.  If you have concerns about an OT's fitness to practice, please contact investigations@coto.org or 416.214.1177/1.800.890.6570 x234.