Resignation Application Form

and an

Acknowledgement & Undertaking (AU)

A registrant of the College of Naturopaths of Ontario (the College) may resign their registration by completing a Resignation form and submitting it to the College with the required supporting documents. Please note that any outstanding fees must be paid and/or any complaints and discipline matters resolved either before or as a result of a resignation application. Further, it is important to remember that the resignation does not take effect until the registrant receives confirmation from the College.


Once your resignation takes effect, your certificate of registration that authorizes you to practise naturopathy in Ontario is no longer valid. At that point, you may no longer perform any of the controlled acts authorized to naturopaths in Ontario, hold yourself out as a naturopath, or use the titles ND, Naturopath, Naturopathic Doctor or the Inactive designations, ND (Inactive), Naturopath (Inactive), Naturopathic Doctor (Inactive) or their French equivalents to describe yourself.

RESIGNATION PROCESSES

The College has three means through which a registrant may resign. While there are similarities in some aspects, there are distinct differences in the requirements. The application form will adjust to reflect these requirements based on the resignation route chosen.


In order to guide you, please review the following and indicate which of the three routes you intend to use.


  • Registration Process - this is used when a registrant decides they no longer wish to be registered with the College. This can occur when a Registrant decides to move to a new jurisdiction or retire from practice.
  • Investigation Process - this route is used when a registrant is the subject of an investigation by the Inquiries, Complaints and Reports Committee (ICRC) or the CEO and the registrant is prepared to resign from the profession to resolve the investigation.
  • Disciplinary Process - this process is used when a registrant has been referred to the Discipline Committee for a hearing and the registrant is prepared to resign from the College to resolve the disciplinary matter.

Which resignation process are you using?*

RESIGNATION AS A REGISTRATION PROCESS

This application form is submitted in support of your decision to resign from the College and no longer practice the profession in Ontario.


When to Submit Your Application

It is recommended you submit your documentation no more than 10 business days of the date you want to have your request take effect (resignation effective date). Note that if you wish to resign before the commencement of another registration year (which commences on April 1 of each year), your documentation must be submitted 10 business days before the March 31st close of renewal. If you seek to resign after March 31, you will be required to pay your registration fee (and any other applicable fees) for the year and complete the information return form before your resignation request can be processed. Please note that the College will not refund any portion of the annual registration fee when registrants resign part way through the year.


Important Information

Before you complete this form, please review the following information carefully.


If you resign from the College and subsequently wish to return to the profession in Ontario, you will be required to apply as a new applicant. This means that you will be required to meet all registration requirements in effect at the time of your application, including (but not limited to) the entry-to-practise examinations (i.e., the Ontario Clinical Practical Exams, Ontario Clinical Sciences Exam, Ontario Biomedical Exam, and the Jurisprudence Exam).


Additional information regarding these examinations is available in the Entry-to-Practise Exams section of the Applicants tab of the College website.


If you hold a Certificate of Authorization from the College for a Professional Corporation, the Professional Corporation must be dissolved before your resignation can be processed. Please submit a copy of the Professional Corporation’s Certificate of Dissolution (obtained through the Ministry of Government and Consumer Services).


Process for Resigning


Step 1: Completing Your Application and the Acknowledgement and Undertaking


Part 1 of this on-line form is your application to resign. It should be reviewed carefully, and the information requested should be entered in carefully. Before a registrant resigns, their patients will need sufficient notice so that they can seek treatment from another naturopath. After a registrant resigns, patients may need to locate their records. The location of your patient files and how a patient may go about locating them is information that you will be required to provide in this form.


Part 2 of this form is an Acknowledgement & Undertaking with the College. It is a legal agreement in which you are acknowledging information being provided to you and agreeing to abide by the noted requirements. Please read this carefully and respond to each question.


Step 2: Proof of Professional Liability Insurance


Section 19 of the College by-laws require that all Registrants who held a General class certificate of registration within the past five years and immediately prior to ceasing to practice the profession, shall have enduring (tail) insurance to provide coverage for at least five years after they have resigned their registration.


Note: If you were registered in the Inactive class for over five years prior to resigning your registration and held enduring (tail) insurance during that period, you may be exempt from the enduring (tail) insurance requirement.


You will be required to provide evidence of your enduring (tail) insurance coverage (i.e., a copy of your insurance certificate and proof of payment for the insurance premiums covering the full five-year period effective from the date you ceased or will cease practising the profession (i.e., effective date of resignation). Annual payment of premiums will not be permitted.


Step 3: Submitting Your Documentation


Your supporting documentation can be uploaded with this form (recommended), submitted by e-mail to registration@collegeofnaturopahts.on.ca, or mailed to 10 King Street East, Suite 1001, Toronto, ON M5C 1C3 or uploaded within this form.


Step 4: Confirmation of Resignation


After receiving your application and the Acknowledgement & Undertaking, it will be provided to the Chief Executive Officer (CEO) for review and acceptance.


Only once your resignation is accepted by the CEO does your resignation take effect. You will receive a formal letter from the Registration Team confirming your resignation and the date that it has or will take effect.


Please note that your resignation is not effective until the College confirms in writing that it has accepted your resignation.


If you have any questions regarding the resignation process or about any of the information noted above, please contact the Registration department at registration@collegeofnaturopaths.on.ca or 416-583-6002.

RESIGNATION AS AN INVESTIGATION PROCESS

This application is submitted in response to an inquiry from the ICRC during which a Registrant decides that they no longer wish to practise the profession in the midst of an investigation into allegations of professional misconduct or incompetence.


When to Submit Your Application

Since the application to resign is being made as a part of the process with the ICRC, the application should be made only once the ICRC has communicated to you that they are prepared to "take no further action" on an investigation related to you that is underway, in exchange for your agreement to resign your certificate of registration.


Important Information

Before you complete this form, please review the following information carefully.


If you resign from the College as part of an investigation process, you will be agreeing to resign and to never reapply for registration again. Making an application for re-registration will result in a breach of an agreement with the College and may result in the resumption of the original investigation and a further investigation on allegations of misconduct.


Process for Resigning during an Investigation


Step 1: Completing Your Application and the Acknowledgement and Undertaking


Part 1 of this on-line form is your application to resign. It should be reviewed carefully, and the information requested should be entered in carefully. Before a Registrant resigns, their patients will need sufficient notice so that they can seek treatment from another naturopath. After a Registrant resigns, patients may need to locate their records. The location of your patient files and how a patient may go about locating them is information that you will be required to provide in this form.


Part 2 of this form is an Acknowledgement & Undertaking with the College. It is a legal agreement in which you are acknowledging information being provided to you and agreeing to abide by the noted requirements. Please read this carefully and respond to each question.


Step 2: Proof of Professional Liability Insurance


Section 19 of the College By-laws require that all Registrants who held a General class certificate of registration within the past five years and immediately prior to ceasing to practice the profession, shall have enduring (tail) insurance to provide coverage for at least five years after they have resigned their registration.


Note: If you were registered in the Inactive class for over five years prior to resigning your registration and held enduring (tail) insurance during that period, you may be exempt from the enduring (tail) insurance requirement.


You will be required to provide evidence of your enduring (tail) insurance coverage (i.e., a copy of your insurance certificate and proof of payment for the insurance premiums covering the full five-year period effective from the date you ceased or will cease practising the profession (i.e., effective date of resignation). Annual payment of premiums will not be permitted.


Step 3: Submitting Your Documentation


Your supporting documentation can be uploaded with this form (recommended), submitted by e-mail to registration@collegeofnaturopahts.on.ca, or mailed to 150 John Street, 10th Floor, Toronto, ON, M5V 3E3 or uploaded within this form.


Step 4: Confirmation of your Pending Resignation


After receiving your resignation application and the Acknowledgement & Undertaking, it will be provided to the Chief Executive Officer (CEO) for review. If all aspects of the application and Acknowledgement & Undertaking are in order, the CEO will indicate their intent to accept your resignation. This will clear the way for you to complete the investigation process with the ICRC. Your resignation has not been accepted at this point in time, but it is pending.


Step 5: ICRC Acknowledgement & Undertaking


The Professional Practice department of the College will provide you with a second Acknowledgement & Undertaking between you and the ICRC. You should review this carefully as it is an agreement that indicates that you have submitted your resignation to the College, that the CEO intends to accept the resignation and that the ICRC will take no further action on one or more investigations as a result of your pending resignation. Once this is approved and signed by both you and the ICRC Chair, the resignation process will resume.


Step 6: Confirmation of Resignation


After receiving your resignation application, the resignation Acknowledgement & Undertaking, and the signed ICRC Acknowledgement & Undertaking, the resignation will be finalized and formally accepted.


Only once your resignation is accepted by the CEO does your resignation take effect. You will receive a formal letter from the Registration department confirming your resignation and the date that it has taken effect.


Please note that your resignation is not effective until the College confirms in writing that it has accepted your resignation.


If you have any questions regarding the resignation process or about any of the information noted above, please contact the Professional Practice department at general@collegeofnaturopaths.on.ca.

RESIGNATION AS A DISCIPLINE PROCESS

This application is submitted after an investigation by the ICRC in which the ICRC decided to refer allegations of professional misconduct and/or incompetence to the Discipline Committee. If this occurs, a Registrant may decide that they no longer wish to practise the profession in exchange for leniency in any potential disciplinary outcome.


When to Submit your Application

The application to resign is made as a part of the process of working with the College to resolve the referral to the Discipline Committee through an Agreed Statement of Facts and a Joint Submission on Penalty and Costs. The application should only be completed once directed by the College and on the advice of your legal counsel.


Important Information

Before you complete this form, please review the following information carefully.


If you resign from the College as part of a discipline process, you will be agreeing to resign and to never reapply for registration again. Making an application for re-registration will result in a breach of an agreement with the College and may result in an investigation on allegations of misconduct.


Process for Resigning during an Investigation


Step 1: Completing Your Application and the Acknowledgement and Undertaking


Part 1 of this on-line form is your application to resign. It should be reviewed carefully, and the information requested should be entered in carefully. Before a Registrant resigns, their patients will need sufficient notice so that they can seek treatment from another naturopath. After a Registrant resigns, patients may need to locate their records. The location of your patient files and how a patient may go about locating them is information that you will be required to provide in this form.


Part 2 of this form is an Acknowledgement & Undertaking with the College. It is a legal agreement in which you are acknowledging information being provided to you and agreeing to abide by the noted requirements. Please read this carefully and respond to each question.


Step 2: Proof of Professional Liability Insurance


Section 19 of the College By-laws require that all Registrants who held a General class certificate of registration within the past five years and immediately prior to ceasing to practice the profession, shall have enduring (tail) insurance to provide coverage for at least five years after they have resigned their registration.


Note: If you were registered in the Inactive class for over five years prior to resigning your registration and held enduring (tail) insurance during that period, you may be exempt from the enduring (tail) insurance requirement.


You will be required to provide evidence of your enduring (tail) insurance coverage (i.e., a copy of your insurance certificate and proof of payment for the insurance premiums covering the full five-year period effective from the date you ceased or will cease practising the profession (i.e., effective date of resignation). Annual payment of premiums will not be permitted.


Step 3: Submitting Your Documentation


Your supporting documentation can be uploaded with this form (recommended), submitted by e-mail to registration@collegeofnaturopahts.on.ca, or mailed to 150 John Street, 10th Floor, Toronto, ON, M5V 3E3 or uploaded within this form.


Step 4: Confirmation of your Pending Resignation


After receiving your resignation application and the Acknowledgement & Undertaking, it will be provided to the Chief Executive Officer (CEO) for review. If all aspects of the application and Acknowledgement & Undertaking are in order, the CEO will indicate their intent to accept your resignation. This will clear the way for you to complete the hearing process before a panel of the Discipline Committee. Your resignation has not been accepted at this point in time, but it is pending.


Step 5: Discipline Agreement & Undertaking


Legal Counsel for the College will provide your legal counsel, or if you are not represented, you with a second Acknowledgement & Undertaking between you and the College. You should review this carefully as it is an agreement that indicates that you have submitted your resignation to the College, that the CEO intends to accept the resignation and that College is seeking a more lenient order from the panel in light of your willingness to resign. Once this is approved and signed by both you and the College, and once the panel has issued its Order on the matter, the resignation process will conclude.


Step 6: Confirmation of Resignation


After receiving your resignation application, the resignation Acknowledgement & Undertaking, the signed Discipline Acknowledgement & Undertaking, and the Order from the panel, the resignation will be finalized and formally accepted.


Only once your resignation is accepted by the CEO does your resignation take effect. You will receive a formal letter from the Registration department confirming your resignation and the date that it has taken effect.


Please note that your resignation is not effective until the College confirms in writing that it has accepted your resignation.


If you have any questions regarding the resignation process or about any of the information noted above, please contact your legal counsel or legal counsel for the College.

PART 1: APPLICATION TO RESIGN

In this part, information is to be provided in support of the processing of your application to resign your certificate of registration.

1.1 Information about You

Please provide the following information about you as it currently appears in the public register (Naturopath Search) on the College's website.

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

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

Please enter your last name as it currently 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 provide an email address to which the College may send you communication or information.

1.2 Practice Status Information

Please provide the following information regarding your current practice status and pending resignation.

Practice Status*

Which of the following currently applies to your status?

Please enter the date you intend to cease practising the profession.

Please enter the date by which you wish the resignation to take effect. If resigning during the renewal period, the date should be no later than March 31, otherwise you will be required to pay your registration fee for the year and fees are non-refundable.

Please enter the date you stopped practising the profession.

Certificate of Authorization for a Professional Corporation

I currently hold a certificate of authorization for a Professional Corporation through the College of Naturopaths of Ontario (If you select 'Yes', please email a copy of the certificate of dissolution to the registration team at registration@collegeofnaturopaths.on.ca)

1.3 Location of Patient Files

A patient has a legal right of access to their naturopathic file that you have used for 10 years beyond its last use, longer if they were under 18 years of age when you were treating them.


To enable access for patients to their records, the College is required to publish the location of your patient files after your resignation. Please complete the following questions to allow your patients to access their files.

Patient Access to their Files*

Please indicate how a patient may access their patient files after your resignation take effect. Registrants in the Inactive class of registration prior to resigning must enter patient file location details in the required fields if selecting previous practice location from the options provided.

Province in which Healthcare Information Custodian is located.

Please provide a telephone number where the health information custodian can be reached during regular business hours. To adjust the country, please use the arrow key to select the correct flag.

Phone

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)

1.4 Professional Liability Insurance

The College's by-laws require that a Registrant carry enduring (tail) insurance for a period of five years from the effective date of resignation. This insurance has to be arranged with your provider and the premium paid in full in advance.


Please see Professional Liability Insurance for more information on the insurance requirements.

Last Date Practised*
Supporting Documents*

As a result of your having practised in Ontario within the past five (5) years and immediately prior to ceasing to practise the profession you are required to have enduring (tail) insurance that covers you five (5) years from the date you intend to resign. Documentation required includes a Certificate of Enduring (Tail) Liability Insurance AND proof of premium paid for the full duration of the coverage period. Please indicate how you will be providing the required documents to the College.

Drag and drop files here or

PART 2: ACKNOWLEDGEMENT & UNDERTAKING (REGISTRATION PROCESS)

As part of your resignation process, you are entering into an Acknowledgement & Undertaking (an agreement) with the College. This is a legal document and, although it is being completed on-line, it is binding on you as though you have signed a paper copy of the document.


Please take you time and review each provision of the following Acknowledgement & Undertaking and select whether you agree or do not agree to the provision.

PART 2: ACKNOWLEDGEMENT & UNDERTAKING (INVESTIGATION PROCESS)

As part of your resignation process, you will enter into two Acknowledgements & Undertakings with the College. These are legal documents and, although one or both may be completed on-line, they binding on you as though you have signed a paper copy of the document.


This first Acknowledgement and Undertaking relates your application to resign your certificate of registration upon which the ICRC will make a decision to “take no further action” in one or more investigations currently underway. This Acknowledgement and Undertaking must be fully executed prior to the ICRC making its final determination on any investigation files.


As noted above, the second Acknowledgement & Undertaking is one in which you will enter with the ICRC where they agree to take no further action on one or more investigations in light of your pending resignation with the College.


Please take you time and review each provision of the following Acknowledgement & Undertaking and select whether you agree or do not agree to each provision.

PART 2: ACKNOWLEDGEMENT & UNDERTAKING (DISCIPLINE PROCESS)

As part of your resignation process, you will enter into two or more Acknowledgement & Undertakings with the College. These are a legal documents and, although one or more may be completed on-line, they binding on you as though you have signed a paper copy of the document.


This first Acknowledgement and Undertaking relates to your application to resign your certificate of registration upon which the College has agreed to reduce the penalty it will seek before a panel of the Discipline Committee. This Acknowledgement and Undertaking must be fully executed immediately following the completion of the hearing an any penalty order released by the panel.


As noted above, the second Acknowledgement & Undertaking relates to the matter being brought before a panel of Discipline Committee and indicates that you have entered into an Agreed Statement of Facts and a Joint Submission on Penalty and Costs and that the College has agreed to seek a more lenient penalty in light of your pending resignation.


Please take you time and review each provision of the following Acknowledgement & Undertaking and select whether you agree or do not agree to each provision.

Agree to Resign*

By completing this form, I hereby agree to resign as a Registrant of the College of Naturopaths of Ontario.

Resignation to take effect*

I acknowledge and agree that my resignation is not effective until the College notifies me in writing that it has taken effect and the date on which it came into effect.

Enduring (Tail) Insurance*

I acknowledge and agree that, in accordance with the College by-laws, I shall maintain enduring insurance for at least five (5) years from the effective date of resignation.

No Longer able to Practise*

Once my resignation takes effect, my certificate of registration is forfeited and I will not be entitled to hold myself out as a person who is qualified to practise in Ontario as a Naturopath or a specialty of naturopathic medicine, perform any of the authorized controlled acts as set out in the Naturopathy Act, 2007, and I will not be entitled to imply that I am a Naturopath in Ontario.

Resumption of Practice*

I acknowledge and agree that should I wish to return to the profession (in Ontario) after I resign, I must apply to the College for a new certificate of registration and must meet the entry-to-practise requirements for registration in force at that time.

Resign and Never Re-Apply*

I acknowledge and agree that after I resign, I will never re-apply to this College for a new certificate of registration, registration, membership, licensure or similar status.

Result of Re-Application*

I acknowledge that if I ever apply for membership, registration, licensure or similar status with the College in the future, the College will be entitled to prosecute me for the breach of this undertaking, and the College will be entitled to rely upon this undertaking for that purpose.

Use of Title, Holding out and Controlled Acts*

Once my resignation takes effect, I acknowledge and agree that I will no longer be a Registrant of the College of Naturopaths of Ontario and will no longer be entitled to use the title “Naturopath”, “Naturopathic Doctor” or any other derivation or abbreviation thereof, including “ND” or any equivalent in another other language.

Information on the Register*

I understand that my information will remain on the College’s Public Register once my resignation takes effect for a period of time as set out in the College By-laws, and that the information will include a notation that I have resigned and the date the resignation took effect.

Information on the Register*

I understand and agree that the College will include on the public register the fact that I resigned and undertook never to reapply. I further acknowledge that the College will be including the full text of this undertaking on the public portion of the College's public register on the College's website.

Breach*

I agree that in the event that the College should become aware that I am in breach of this Acknowledgement & Undertaking, the College will be entitled to rely upon this Acknowledgement & Undertaking in any registration, investigation, discipline, injunction or other similar proceeding.

In the event of a Breach*

I further agree that if I breach this Acknowledgement & Undertaking, the College shall, at its sole discretion, have the right to proceed with the investigation and that the College will be entitled to rely upon this Acknowledgement and Undertaking for that purpose.

In the event of a Breach*

I further agree that if I breach this Acknowledgement & Undertaking, the College shall, at its sole discretion, the College will be entitled to prosecute me for the breach of this undertaking, and the College will be entitled to rely upon this undertaking for that purpose.

Passage of Time*

I agree to bear the risk of any prejudice that the passage of time might cause to my ability to make full answer and defense and waive the right to seek any remedy based on the passage of time, should the college proceed with any allegations that may arise as a result of a breach of this Acknowledgement & Undertaking and/or pursuant to the preceding paragraph.

Continuing Jurisdiction*

I acknowledge and agree that after I resign, I remain subject to the jurisdiction of the College for professional misconduct and incompetence referable to the time when I was a Registrant and for the enforcement of this and any other Agreements & Undertakings into which I may have voluntarily entered with the College.

Return/Destruction of Certificate*

I acknowledge that all copies of my certificate of registration must be returned to the College or I need to send confirmation to the College that I have destroyed them.

Responsible for Costs & Fees

I acknowledge that I shall be solely responsible for payment of my own fees, costs, charges, expenses, etc., if any, arising from the implementation of any of the terms of this Acknowledgement & Undertaking.

Understanding*

I understand the terms of this Acknowledgement & Undertaking.

Independent Legal Advice

I acknowledge and confirm that I have been advised by the College to obtain independent legal advice prior to signing this Acknowledgement & Undertaking and that I have obtained or have had an adequate opportunity to do so.

Voluntary

I am signing this Acknowledgement and Undertaking voluntarily and without compulsion or duress.

Consent

I give my consent to the College to make appropriate inquiries of any person or institution who may have relevant information, in order for the College to monitor my compliance with the terms of this Acknowledgement & Undertaking.

Disclosure to ICRC*

I acknowledge and agree that this undertaking will be provided to the ICRC as a basis for them to make a decision to “take no further action” in one or more investigations currently underway.

Disclosure at Hearing*

I acknowledge and agree that this undertaking will be provided to the Discipline Committee to explain why the College did not seek a revocation, or lengthy suspension, or extensive terms, conditions, and limitations on my certificate of registration.

DECLARATION & SIGNATURE

Declaration


I hereby declare that the information I have provided in this form is accurate to the best of my abilities and that I will immediately notify the College in the event that any of the information changes until such time as my resignation takes effect.

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.

I have completed this undertaking on the date noted.

Submission Copy

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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