Class Change Application Form

All Registrants of the College are provided a certificate of registration that is in one of two classes: - General Class - for those who are practising and seeing patients. - Inactive Class - for those who are not practising or seeing patients. This Class Change Request Form is used when a Registrant wishes to change their certificate of registration from one class to another. Please note that the information required and the fees associated with your request will change depending on which class you are moving into and how long you have been in your current class. Please review the information provided and questions posed carefully to avoid errors and delays.

1. BEFORE YOU COMPLETE THIS FORM

When to Submit Your Application


Any registrant wishing to change their class of registration may do so at any time; however, you should submit your application and any documentation no more than ten (10) business days prior to the date you intend to change class in order to allow for sufficient time for the application to be processed.


Registrants may change their class of registration during the Registration Renewal period; however, as this is not an immediate process and may require the anticipated ten (10) business days for the College to process, please allow ample time.


In order for you to proceed to renew in your new class, you will have to wait for the College to notify you that your change request has been completed. There is a blackout period for the final 10 days of the renewal period for class changes to be processed. Any requests received between mid-March and March 31st will be processed AFTER the renewals have been completed. Please renew in your current class of registration to avoid late fees being applied.


Step 1: Completing Your Application


Complete this on-line application carefully providing all of the information and documentation requested. Applications that are incomplete or are missing required documentation may result in processing delays.


Step 2: Submitting Your Documentation


Required documentation will be identified below. While this documentation may be mailed to the College, it is strongly recommended that the documentation be scanned and uploaded to this form to expedite processing time. If you wish to mail it to the College, the College's address is provided below.


College of Naturopaths of Ontario

ATTN: Registration Department

10 King Street East, Suite 1001

Toronto, ON M5C 1C3


Step 3: Payment of Fees


Once your application has been received, the College will apply a fee for processing your application. The fee will be entered into your account in your profile with the College. You will receive an email from the College when the fee is added to your account. The fee may be paid on-line in the Registrant Portal. The processing of your application cannot be completed until the fee is received. Inactive class registrants will also be required to pay the difference between the Inactive class and General class registration fee.


Step 4: Confirmation of Class Change


Once your documentation is received and processed, you will receive a letter from the Chief Executive Officer confirming the change of class for your certificate of registration. You will then be able to download a new certificate of registration from your account page on the College’s website.


Should you require any further information regarding this process, please contact the registration department at registration@collegeofnaturopaths.on.ca or 416-583-6002.

2 INFORMATION ABOUT YOU

Please provide the following information about you as it currently appears in the public register.

Please enter your first name as it appears on the public register (Naturopath Search) on the College's website.

Please enter your middle name, if applicable, as it appears on the public register (Naturopath Search) on the College's website.

Please enter your last name as it appears on the public register (Naturopath Search) on the College's website.

Please enter your Registration Number with the College of Naturopaths of Ontario

Please enter your email address

8. PRELIMINARY CLASS CHANGE INFORMATION

Please provide the following information to assist the College in identifying the class change process that is appropriate for you. You are strongly encouraged to review the Public Register (Naturopath Search) on the College's website.

9 Current Class*

Please enter your current class of registration.

Please enter the date you entered your current class of registration. You can find this information from the Public Register (Naturopath Search) on the College's website or by logging in to the Registrant portal on the College's website.

11 Class You are Changing Into*

Please enter the class of registration into which you are seeking to move.

12 Length of Time in the Inactive Class*

Using the date you entered your current class of registration above, and the date by which you intend to change into the new class of registration, calculate the length of time you were in your current class of registration and select the appropriate time frame below that is indicative of how long you have been in your current class.

If you were Inactive with the College but practising in an unregulated jurisdiction, please indicate the date on which you last treated a patient in the other jurisdiction.

Please enter the date by which you wish the class change to be completed. If you are in the General Class, it is the date you wish to formally change to the Inactive Class. If you are in the Inactive Class, it is the date on which you intent to resume practising the profession.

15 CHANGE OF CLASS - General Class to Inactive

According to the information you have provided, your certificate of registration is currently in the General Class and you wish to move to the Inactive Class. Please complete the information and declarations below and provide the necessary documentation in order to proceed. Upon receipt of your application, a processing fee of $113.00 ($100 + HST) will be added to your account in the Registrant portal. This fee must be paid in order for the College to complete your application.

16 CHANGE OF CLASS - Inactive Class to General Class (2 years or less)

According to the information you have provided, your certificate of registration is currently in the Inactive Class and you have been inactive for 2 years or less. Please complete the information and declarations below and provide the necessary documentation in order to proceed. Upon receipt of your application, a processing fee of $113.00 ($100 + HST) will be added to your account in the Registrant portal. This fee must be paid in order for the College to complete your application. In order to finalize your application, you will be notified of and required to pay the General class registration fee for the applicable registration year. If changing class outside of the renewal period, this fee will be the difference between the Inactive class fee paid at the beginning of the registration year and the General class fee. Please note that the fee cannot be prorated and is non-refundable.

17 CHANGE OF CLASS - Inactive Class to General Class (More than 2 years)

According to the information you have provided, your certificate of registration is currently in the Inactive Class, you have been inactive for more than 2 years, and you wish to move back to the General Class. Please complete the information and declarations below and provide the necessary documentation in order to proceed. Upon receipt of your application, a processing fee of $310.75 ($275 + HST) will be added to your account in the Registrant portal. This fee must be paid in order for the College to complete your application. In order to finalize your application and within 10 business days of meeting the RC imposed requirements, you will be notified of and required to pay the General class registration fee for the applicable registration year including submitting the remaining documents such as the PLI and CPR certificate, in addition to any other requirements as notified by the College. If changing class outside of the renewal period, this fee will be the difference between the Inactive class fee paid at the beginning of the registration year and the General class fee. Please note that the fee cannot be prorated and is non-refundable.

18 INFORMATION & DOCUMENTATION

In this section, additional information will be sought as well as details provided regarding documentation that is necessary for your specific type of class change. Please review this information carefully.

19 Information and Documentation - Changing to the General Class

As you are changing from the Inactive Class to the General Class for your certificate of registration, no additional information is required at this time; however, you must now complete and provide the following documents.


  1. Curriculum Vitae - please provide a current CV.
  2. Letter to the Committee - please provide a letter to the Registration Committee of the College that addresses any of the following as they apply. - An outline of the scope of any naturopathic practice you may have had in another jurisdiction; - An outline of the scope of your naturopathic practice prior to becoming Inactive; - A summary of your professional activities since changing your registration class to Inactive; - Any continuing education you have undertaken; - How you intend to practise upon being issued a General class certificate of registration (e.g. focus of practice, intended modalities, etc.); and - Any other information which may assist the Panel in determining the currency of your naturopathic knowledge, skill and judgment.
  3. Please complete the following four forms on-line: Standard of Practice Self-Assessment ; Core Competency Practice Reflection ; Controlled Acts Practice Reflection ; Learning Plan.
  4. Following completion of any requirements set out by the Committee, you will be required to provide proof of current professional liability insurance, including a copy of your insurance certificate and proof of payment for the insurance premiums for the current coverage year and a copy of your current Healthcare Provider Level CPR (HCP) or its equivalent. Requirements for professional liability insurance are described in Section 19 of the College by-laws.


In order to finalize your application, you will be notified of and required to pay the General class registration fee for the applicable registration year. If changing class outside of the renewal period, this fee will be the difference between the Inactive class fee paid at the beginning of the registration year and the General class fee. Please note that the fee cannot be prorated and is non-refundable.

20 Information and Documentation - Changing to the Inactive Class

As you are changing from the General Class to the Inactive Class for your certificate of registration, please answer the following questions. In addition, you are also required to provide the College with the following two documents: 1. A Certificate of Insurance for Enduring (Tail) Insurance for five years from the Inactive class effective date. 2. Proof of Premium Paid on the above noted insurance policy.

21 Information and Documentation - Changing to the General Class

As you are changing from the Inactive to General class for your certificate of registration, you must upload or mail the following documents: 1. Copy of the insurance certificate and proof of payment for the insurance premiums. 2. Copy of current Healthcare Provider Level CPR (HCP) or its equivalent.

From the options below, please select the one that best describes the situation you will be in when you move to the General Class.

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From the options below, please select the one that best describes the situation that has prompted you to change to the Inactive Class.

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Please indicate how long you believe that you will be in the Inactive Class?

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25 How can your former patients access their records?*

It is imperative that your patients are able to access their patient record while you are in the Inactive class. Please indicate how a patient may access their records.

If you have more than one practice location where patient files are stored, please provide the following details for your patient records: Street Address - Unit Number - City - Province - Postal Code - Telephone - Email Address

26 Please provide the following details about the new Healthcare Information Custodian for your patient records: - Registrant name - Clinic name - Street Address - Unit Number - City - Province - Postal Code - Telephone - Email address.

26 Please provide the following details for your patient records: Street Address - Unit Number - City - Province - Postal Code - Telephone - Email Address (please note this information will be displayed on the Public Register)

The College requires that a Registrant’s home address be included in their file. Please provide a residential address, including contact information that will be used for communication with the College. Your residential address will determine the electoral district in which you are eligible to vote and to run for College elections. Please be sure to provide complete information, including: - Street Address - Unit Number - City - Province - Postal Code - Telephone - Email address.

28 Method of Providing Supporting Documentation*

Please indicate how you will be providing the required documents to the College.

Drag and drop files here or

30 DECLARATIONS

Please review the following declarations and indicate whether your agree or disagree with each.

31 Professional liability insurance*

I understand that, upon changing to the General class of registration, the College may inquire with a relevant third party regarding whether I have professional liability protection, and I hereby consent to disclosure of this information to the College by the provider of my professional liability protection. I understand that I must have evidence of my professional liability protection available in my office, in written or electronic form, for inspection by the College. I will notify the College within two (2) business days of any change to my professional liability coverage, understanding my registration will be suspended if my coverage lapses

32 Enduring (Tail) Liability insurance*

I understand that I must have evidence of my enduring (tail) liability protection available, in written or electronic form, to provide to the College if requested. I will notify the College within two (2) business days of any change to my enduring liability protection. I understand that my registration will be suspended if my coverage lapses.

33 Good character*

I agree and understand that I am responsible, at all times, for providing the Chief Executive Officer (CEO) with details of any new information pertaining to findings of guilt, current proceedings, other registrations, or any other issue related to good character. I understand I must provide any new information to the CEO within thirty (30) days and that this requirement continues regardless of my class of registration.

34 Information verification*

I hereby understand the College of Naturopaths of Ontario may make such inquiries as it deems appropriate for evaluating my application for registration to practise naturopathy in Ontario.

35 Complete and accurate*

I hereby declare the contents of this application are true and complete. I understand and agree that if I make a false or misleading statement or representation in respect of my application, I shall be deemed not to have satisfied the requirements for a certificate of registration. I further understand and agree that if a certificate of registration is issued to me based upon a false or misleading statement or representation, the certificate maybe revoked.

36 Acknowledgement of the class change process*

I understand that I must continue to identify as a Registrant in the Inactive class and that I am not permitted to perform any controlled acts, or hold myself out as a General Class Registrant of the College of Naturopaths of Ontario until I have received written notification from the College advising me otherwise.

37 Acknowledgement & Undertaking*

I hereby declare that I have no outstanding fees, penalties or other amounts owed to the College of Naturopaths of Ontario, nor any outstanding requirements, orders or directions issued by a Committee of the College and that I wish to change my class of registration from the General Class to the Inactive class. I understand and hereby undertake to comply with the following conditions will be imposed on my certificate of registration, as outlined in the Registration Regulation and by-laws of the College. a) I will not engage in providing direct patient care in the province of Ontario; b) I will not supervise the practice of the profession in the province of Ontario; c) I will maintain enduring insurance in accordance with the College by-laws; d) I will include (Inactive) or (Inactif) after each instance of use of my Naturopathic Doctor title or designation; e) I will maintain and retain all records and files for no less than ten (10) years and in accordance with the College’s Record Keeping Standard.

38 SIGNATURE

39 Signature By checking the box below, you are affixing a signature to this form and indicating that this form and the information contained herein is bound directly to you. Your are acknowledging the fee that is required for this request and agreeing that you will pay the fee stipulated to the College.

I have completed this undertaking on the date noted.

41 RETAIN A COPY OF YOUR SUBMISSION

Below is a check box to receive a copy of your submission. It is highly recommended that you check this box and enter your e-mail address. This will enable the on-line system to send you a copy of the information that you have provided to the College.

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