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Spotlight on Practice
Spotlight on Practice: Types of Consent
Occupational therapists are required to obtain two types of consent for occupational therapy services, including assessment, treatment and consultation. This resource provides a quick review of knowledgeable and…
Forms
Candidate Eligibility & Consent Form
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Understanding Consent
Download PDF: (English | French) Should you sign a contract without understanding what’s in it? Or let a mechanic work on your car without getting an estimate and…
Practice Tools
Consent Checklist
Standards
Standard for Consent, 2023
Q&As
Consent for Occupational Therapy Service in Schools
Occupational therapists working in schools may be delivering service under different models of care depending on factors such as employer, location, and funding source. The College often receives…
Case Studies
Obtaining consent and substitute decision-makers
Robert, an occupational therapist (OT) in private practice, receives a referral from a lawyer to assess a client named Louisa who sustained a head injury due to a…
Q&As
Verbal Consent For Email
Q: Can I accept verbal consent from a client for email communication? A: Yes. There are multiple considerations when considering email communications with clients. The first is ensuring…
Q&As
Obtaining Consent from Divorced or Separated Parents
Q: When an OT is obtaining informed consent for occupational therapy services provided to a child, are both parents required to give consent or is it sufficient for…
Case Studies
Obtaining consent from a minor
Lowan, an occupational therapist (OT) working in a publicly funded youth mental health program, is contacted by 14-year-old Xander, who requests counselling services due to recent bullying he…
Case Studies
Obtaining informed consent for an incapable client when an SDM is not available
Lily, an occupational therapist (OT), was notified by staff at a group home that her client, Davon required a new wheelchair cushion. The cushion had a leak and…
Q&As
Including Forms and Other Documents in the Record
Question: Should forms or other documents (for example, standardized assessment forms, funding applications or vendor quotes) be included in the clinical record? Answer: As outlined in the College’s…
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Considerations when hiring an occupational therapist
Any occupational therapist should ask you a series of questions to understand your needs and goals. It’s just as important to have your questions answered, so that you…
News
January 29, 2026 Board Meeting Highlights
Quarterly Performance Report The Board received the FY2025-2026 Quarterly Performance Report. The report reflects the work of College programs and Committees to meet their regulatory obligations and advance…
Practice Guidance
Guidance: Medical Assistance in Dying, 2025
Insights from Investigations
Insights to Support Your Practice
The College analyzes data about cases and uses it to highlight trends and provide insights to registrants that may be helpful in their practice. We looked at the…
Resource
Practice Tips
Practice Tip of the Week Archive Look for a new tip shared every week on our social media channels: Facebook, Instagram, and LinkedIn. You can also watch our…
Insights from Investigations
Pause Before You Post Client Photos
Occupational therapists in private practice have the added responsibility of managing their business practice. When promoting their practice, occupational therapists should be mindful about how and what they…
Practice Guidance
Culture, Equity, and Justice in Occupational Therapy Practice
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Sociodemographic Data Collection FAQ
Annual registration renewal will open on April 1, 2026. Last year, COTO began asking occupational therapists to voluntarily share their racialized group data during Annual Renewal. A diverse…
Case Studies
Maintaining Professional Boundaries
At some point in every occupational therapist’s career, the issue of a professional boundary crossing with a client will come up. A boundary crossing occurs when an occupational…
Q&As
Documentation after leaving employment
Question: Do I need to respond to questions or requests about past clinical records if I have already left my place of employment? Answer: Yes, as regulated health…
News
Updating your Contact Information with the College
All regulated health professionals are required to keep their contact and employment information up-to-date with their regulator. Changes to the information must be made within 30 days. The…
Insights from Investigations
Data from June 2024-November 2024
From June 1 to November 30, 2024, the Inquiries, Complaints and Reports Committee (ICRC) made decisions on a total of 11 investigations—five complaint investigations and six Registrar’s Investigations….
News
Insights from Investigations: Data from June 2024-November 2024
From June 1 to November 30, 2024, the Inquiries, Complaints and Reports Committee (ICRC) made decisions on a total of 11 investigations—five complaint investigations and six Registrar’s Investigations.
Practice Tools
Professional Obligations
Occupational therapists are accountable to the people they care for and serve, their peers, other regulated professions and their regulator – the College of Occupational Therapists of Ontario….
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Newsletters
The College regularly communicates with occupational therapists by email regarding changes to standards, mandatory registration requirements, public consultations and more. If you would like to access archived issues…
Practice Guidance
Guidance: Child, Youth and Family Services Act, 2017 (CYFSA)
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Health Inquiries
Sometimes, an occupational therapist may suffer from a mental or physical condition that affects their ability to practise. “Incapacity” is the term used when an occupational therapist cannot…
Practice Guidance
Guidance: Remote (Virtual) Services, 2024
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