Ontario IVIT Examination Registration Form

This form is used by all individuals who are seeking to register for an upcoming sitting of the Intravenous Infusion Therapy Examination with the College of Naturopaths of Ontario.

Important

Candidates must meet all eligibility requirements as stipulated in the Ontario Intravenous Infusion Therapy Examination Handbook (the "Handbook") prior to registering for the Ontario IVIT Examination.


In addition to this registration form, candidates (both initial and those retaking the exam) must also submit required documentation, as outlined in the Handbook. Candidates retaking exams are required to submit a copy of valid, legible photo I.D. with their exam registration application.


Registration capacity for this session has been set at 24 candidates, with Registrants of the College of Naturopaths of Ontario (the College) being given preference. NOTE: Registration is NOT complete until both your form and fee have been received.


The deadline for registering for upcoming sessions of the Ontario IVIT Examination may be found on the Ontario IVIT Exam Schedule and Fees page of the College's website. The number of places open for this examination is limited. Should the examination capacity be reached before the Registration deadline, registration will be closed early. The registration deadline is also the date for receipt for any requests for accommodations.


If you have questions regarding the exam which have not been addressed in the Handbook, please contact the Examinations Team at exams@collegeofnaturopaths.on.ca.


Please note that the College continues to work remotely, and mail is not collected daily; as such, candidates are strongly recommended to pay the exam fee online rather than by cheque or money order.

INFORMATION ABOUT YOU

Please provide your given (first) name.

Please provide your family (last) name.

Please enter your four-digit registration number with the College.

Please enter your email address on file with the College.

Please indicate the exam sitting for which you are registering.*

Please note the exam dates are as follows:


#1: May 4, 2025

#2: Dec 7, 2025

Note: Only candidates who have completed the course at point of exam registration are eligible to register for the Ontario Intravenous Infusion Therapy Examination.

Through which College-approved IVIT training course provider did you last complete your IVIT training?*
Attempt #

Please indicate whether this is your first, second or third attempt at this examination.

Please enter the date you made your first attempt at this examination.

Please enter the date you made your second attempt at this examination.

Candidates retaking the exam are required to upload a copy of valid, legible photo I.D. Please refer to the Handbook for acceptable forms of photo I.D.

Drag and drop files here or
Do you require an exam accommodation (as outlined in the Handbook)?*
Accommodation Type*

Please select the type of accommodation needed. NOTE: to be considered, requests for accommodation must be received by 5:00 p.m. ET on the date registration closes for this examination and must be accompanied with appropriate supporting documentation as outlined in the Handbook

PATIENT MODELLING

Patient Model Consent*

Do you agree to to participate as a patient model for another exam candidate during the vascular access portion of the exam understanding that you may decline consent due to contraindications to IVIT.


Please note that if you decline, a letter from the course provider confirming you have received a patient modeling exemption during the course is required to be submitted on your behalf by the registration deadline for this examination sitting.

Consent to Venipuncture*

I understand that my participation as a patient model will involve venipuncture followed by a small infusion of saline, and that this will be performed on me by another exam candidate for the purposes of fulfilling the Ontario IVIT Examination requirements.

No Contraindications*

By providing my consent, I acknowledge that I understand the material risks, material side effects and possible complications of IVIT. I declare that I have no known contraindications to IVIT.

DECLARATIONS AND SIGNATURE

Hold Harmless*

I agree to hold harmless the College, its examiners, staff, agents and exam candidates from and against any and all liability costs, damages and expenses, causes of action, actions, claims, demands, lawsuits or other proceedings made, sustained, brought or prosecuted, for personal bodily injury, in any way based upon, occasioned by or attributable to my participation as an exam patient model.

Eligibility Requirement*

By registering for the exam, I attest to having met all eligibility requirements and understand that should I be found not to have met these criteria the College reserves the right to unenroll my registration.

Truthfullness*

I hereby acknowledge that the information I have provided for the purposes of registering for this exam, is true, to the best of my abilities and that providing a false or misleading statement may result in the cancellation of my exam registration.

Infectious Control Measures*

I acknowledge and agree to comply with any infectious control measures implemented by the College for administration of the exam (e.g., wearing PPE), and notifying the College and not attending the exam if I become ill.

Impact of Non-compliance*

I further acknowledge and understand that my failure to comply with any College’s health and safety measures may result in my being denied admission to the examination and/or may result in forfeiture of the exam fees paid.

Ontario IVIT Handbook Declaration*

I certify that I have reviewed the Ontario Intravenous Infusion Therapy Examination Handbook, including the appended Examinations Rules of Conduct.

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.

COPY OF 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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