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How to Become an Occupational Therapist in Ontario: Key Requirements and Insights

How to Become an Occupational Therapist in Ontario: Key Requirements and Insights

Are you considering a career as an Occupational Therapist (OT) in Ontario? If so, you'll need to meet several key requirements set by the College of Occupational Therapists of Ontario (COTO). Here’s a fun and easy guide to help you understand the process and ensure you’re on the right track!

1. Education

You’ll need either a Bachelor of Science degree or a Master of Science in Occupational Therapy from a Canadian institution. If you were educated outside of Canada, your education must be reviewed by the Association of Canadian Occupational Therapy Regulatory Organizations (ACOTRO) to ensure it’s equivalent to an Ontario program.

2. Clinical Practicum

Next, you must successfully complete 1000 hours of fieldwork or clinical practicum as part of your educational program. This hands-on experience is crucial for developing your skills.

3. Currency

To ensure your knowledge is up-to-date, you must have:

4. Examination

You must pass the Canadian Association of Occupational Therapists' National Occupational Therapy Certification Examination (NOTCE). This exam assesses your knowledge and readiness to practice.

5. Professional Liability Insurance

Having professional liability insurance with a sexual abuse therapy and counseling fund endorsement is mandatory. The specifics are detailed in Part 19 of the College bylaws.

6. Suitability to Practise

The College needs to be confident that you will practice safely and ethically. This includes submitting a current Vulnerable Sector (VS) Check.

7. Language Fluency

You must be able to speak and write in either English or French with reasonable fluency. If your first language isn’t English or French, you’ll need to provide evidence of your language skills.

8. Work Eligibility

You must be a Canadian citizen, a permanent resident, or authorized to work in Canada under the Immigration and Refugee Protection Act, 2001.

What if I Don't Meet the Requirements?

If you don't meet one or more of the above requirements, your application may be referred to the College’s Registration Committee. They can:

If you disagree with their decision, you can appeal to the Health Professional Appeal and Review Board (HPARB) within 30 days.

Registration Categories

There are three main categories of registration:

General Registration

Issued to applicants who meet all requirements, allowing them to practice without restrictions.

Provisional Registration

For those waiting to take the NOTCE. You must meet all other requirements, be registered for the next exam sitting, have a job offer with supervision, and complete the exam within the specified timeframe.

Temporary Registration

For OTs registered in another province or country, needing to practice temporarily in Ontario. You must have a job offer not exceeding four months in a 12-month period, meet all requirements, and have supervision from an OT with at least one year of general registration in Ontario.

For more information, please follow this link.

Marnee Brick, President, TinyEYE Therapy Services

Author's Note: Marnee Brick, TinyEYE President, and her team collaborate to create our blogs. They share their insights and expertise in the field of Speech-Language Pathology, Online Therapy Services and Academic Research.

Connect with Marnee on LinkedIn to stay updated on the latest in Speech-Language Pathology and Online Therapy Services.

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