The College supports the public’s right to safe, competent and ethical care by occupational therapists. A number of documents set out those clear requirements, and together define the expectations of members of the profession. Learn more below.


The Code of Ethics defines the way occupational therapists, in all situations, should uphold the integrity of the profession, serve the interests of patients, and act in a manner that justifies public trust.

Code of Ethics (English | French)

Guide to the Code of Ethics (English | French)

Conscious Decision-Making in Occupational Therapy (English | French)

  • Conscious Decision-Making in Occupational Therapy Fillable Worksheet (English | French)
  • The 4A Approach to Conscious Decision-Making (English | French)


The essential knowledge, skills and judgement needed by occupational therapists in order to practice.

Essential Competencies of Practice For Occupational Therapists in Canada (English | French)


Standards define the level of performance, as a consensus of the profession, which forms the framework for practicing and ensuring continuing competence.

Standards for Acupuncture (English | French)

Standards for Consent (English | French)

Standards for Infection Prevention and Control (English | French)

Standards for Occupational Therapy Assessments (English | French)

Standards for Prevention and Management of Conflict of Interest (English | French)

Standards for the Prevention of Sexual Abuse (English | French)

Standards for Professional Boundaries (English | French)

Standards for Psychotherapy (English | French)

Standards for Record Keeping (English | French)

Standards for Supervision of Students (English | French)

Standards for the Supervision of Occupational Therapist Assistants (English | French)

Standards for Use of Title (English | French)

Guides, Guidelines & Position Statements

Guides and Guidelines provide more details, context and recommendations on how to best comply with rules, regulations and standards.

Position Statements clarify the policies of the College and help OTs understand how the College will approach particular situations.

Guide: Child, Youth and Family Services Act, 2017 (CYFSA) - Guide updated 2019 (English | French)

Guide to Controlled Acts and Delegation (English | French)

Guide to Discontinuation of Services (English | French)

Guide to Discretionary Reporting of Fitness to Drive (English | French)

Guidelines for Working Within Managed Resources (English | French)

Guidelines for Use of Social Media (English | French)

Guideline: Use of Surveillance Material in Assessments (English)

Guidelines for Working with Third Party Payers (English | French)

Guidelines for Medical Assistance in Dying (English | French)

Guidelines for Telepractice in Occupational Therapy (English | French)

Guidelines for Private Practice (English | French)

Position Statement: On the Interpretation of the Controlled Act of Communicating a Diagnosis - Note: Retired in 2020. Please check the Guide to Controlled Acts and Delegation, 2020

Use of Social Media Learning Module: Pause Before You Post (English)