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Notice: The 2024 Annual Learning Plan is now available in the COTO Portal.
Set your goals and come back to describe their impact by October 31, 2024.

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Standards and Practice Resources

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

Decision-Making Framework


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

Competencies for Occupational Therapists in Canada

Practice Guidance

Practice guidance documents provide information about specific practice situations or legislation.

Notice: As of June 1, 2023, the updated Standards of Practice apply to all occupational therapists. The College's practice guidance documents, case studies, Q&As, and other materials are currently being updated to reflect these changes.

In case of discrepancies, please refer to the Standards of Practice, 2023 for the most current information. If you have any questions, please contact the College's Practice Resource Service [email protected].

Coroner's Reports: Responses

College Responses to the Coroner's Reports