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 - Note: Retired in 2021. Please see the January 28, 2021 Council Highlights for further details.

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 Assessments (English | French)

Standards for Consent (English | French)

Standards for Infection Prevention and Control (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)

Practice Guidance

Practice Guidance provides information about specific practice situations or legislation.

Child, Youth and Family Services Act, 2017 (CYFSA) (English | French)

Controlled Acts and Delegation (English | French)

Discontinuing Services (English | French)

Private Practice (English | French)

Use of Social Media (English | French)

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

Guidelines for Working Within Managed Resources (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)

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