Name Change Application Form

Applying for Change of Name in the Register.

Registrants of the College and applicants (at Step 2 –Application for Registration) may apply to change their name as it appears on their College account, and as it appears (or will appear once registered) on the public register, provided the change of name request complies with College by-laws and is approved by the Chief Executive Officer. Every subsequent change to a Registrant’s name that is approved will be entered in the register and be publicly available. Former names entered in the register will also continue to be publicly available and be searchable by the public. To request a change of name, please complete this Name Change Request Form and submit it to the College with the required supporting documents. There is a fee of $56.50 ($50+HST) associated with the name change for Registrants. Applicants are not required to pay a name change processing fee during the application for registration process.

Important Information before you complete this form!

Documentation


The College will need legal documentation confirming the new name before it can process your request. Please provide a copy of one of the following documents with your application:

  • Change of name certificate issued by the government of Ontario.
  • Marriage certificate (include a valid copy of a government-issued ID displaying your new name*).
  • Certificate of divorce (include a valid copy of a government-issued ID displaying your new name*).
  • Sworn affidavit for validation of identity signed by a Commissioner of Oaths (along with the ID that was supplied for verification).


And

  • Proof of professional liability insurance coverage that matches the new name (applies to Registrants only).


*Government-issued identification documents accepted by the College include Ontario driver’s licence, Ontario Photo Card, Canadian Citizenship card, Canadian Permanent Resident card, Canadian passport, Indian Status Card.


Step 1: Completing Your Application


Complete this on-line form and follow the instructions below to submit the request to the College.


Step 2: Submitting Your Documentation


A scanned copy of your documentation should be uploaded using this on-line form.


Applicants

If you are unable to do so, you may e-mail the documentation to the Application Department at applicants@collegeofnaturopaths.on.ca or mail it to:


Applications

College of Naturopaths of Ontario

10 King Street East, Suite 1001

Toronto, ON M5C 1C3


Registrants

If you are unable to do so, you may e-mail the documentation to the Registration Department at registration@collegeofnaturopaths.on.ca or mail it to:


Registration

College of Naturopaths of Ontario

10 King Street East, Suite 1001

Toronto, ON M5C 1C3


Your request will not be processed until the documentation is received.


Step 3: Payment of Fees (Registrants only)


Upon receipt of your request, the College will enter a non-refundable fee of $56.50 ($50+ HST) is levied by the College for the processing of the request. The fee will be added to your account in your on-line profile with the College where you can make your payment. Your request will not be processed until this payment is received.


Step 4: Confirmation of Name Change


Once your documentation is received and processed, you will receive an email from the College confirming the change in your name. Registrants will then be able to download a certificate of registration displaying their new name from their account page on the College’s website.


If you are a shareholder of a Health Professional Corporation registered with the College, please ensure you submit amending information for your corporation to the College.

Information about You

Current Status*

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


Applicants, please enter your first name as it currently appears on your account and as submitted on the pre-registration form.

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


Applicants, please enter your first name as it currently appears on your account and as submitted on the pre-registration form.

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


Applicants, please enter your first name as it currently appears on your account and as submitted on the pre-registration form.

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

Please enter your email address

Name Change Information

Please provide the following information you are seeking to change as you would like it to appear in the public register.

Please enter the new first name, if applicable, as you would like it to appear on the public register (Naturopath Search) on the College's website.

Please enter the new middle name, if applicable, as you would like it to appear on the public register (Naturopath Search) on the College's website.

Please enter the new last name, if applicable, as you would like it to appear on the public register (Naturopath Search) on the College's website.

Supporting Documents

Please indicate the supporting documents that you are providing to support the name change, indicate whether you are uploading, e-mailing or mailing them to the College and, if you are uploading them, please do so now.

Supporting Documents Provided*

Please indicate which of the following supporting documents you are providing to the College.

Proof of professional liability insurance in your new name is required documentation. Please check this box if you will be providing that proof, typically in the form of a new Certificate of Insurance.

How documents will be provided*
How documents will be provided (Applicants)*
Drag and drop files here or

Declaration and Signature

Declaration (Applicants)*

I acknowledge and agree that:


  • This name change is not for any improper or illegal purpose.
  • Upon registration with the College to practise naturopathy in Ontario, the name in the register shall be the full name indicated on the document used to support my initial registration with the College.
  • Upon registration with the College, I will not be permitted to use a name other than the name as entered in the register to practise the profession or provide professional services.
Declaration*

I acknowledge and agree that:

  • A Registrant’s name in the register shall be the full name indicated on the document used to support the Registrant’s initial registration with the College.
  • A Registrant’s name in the register will only be changed upon providing sufficient evidence to the College that the name has been changed legally.
  • This name change is not for any improper or illegal purpose.
  • A Registrant may not use a name other than their name as entered in the register to practise the profession or to offer to provide professional services.

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.

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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