Acknowledgement and Undertaking as signed by Jumana Faizy (Registration #13374) on January 12, 2022
I, Jumana Faizy (Registration #13374), acknowledge and undertake as follows:
1. I acknowledge that allegations about my conduct as they relate to 1) Fees and Billing; 2) Record Keeping and 3) Professionalism, have been raised before the Inquiries, Complaints and Reports Committee (ICRC) of the College of Physiotherapists of Ontario (the “College”) and that an investigation is in progress.
2. This acknowledgement and undertaking does not constitute an admission of any professional misconduct
3. I acknowledge and agree that, in exchange for my providing to the College an original copy of this Undertaking, the ICRC will take no further action regarding the current investigation. I undertake to resign my membership and certificate of registration with the College effective March 15, 2022 and never to apply or re-apply for membership, registration, licensure or similar status with the College of Physiotherapists of Ontario or a regulatory body that licenses physiotherapists in Ontario.
4. I acknowledge that if I ever attempt to apply or re-apply for membership, registration, licensure, or similar status with the College in the future, the College will be entitled to rely upon this undertaking in any registration or other similar proceeding as reason to deny my application and will provide the ICRC the right to continue with the investigation.
5. I acknowledge that if I attempt to register as a physiotherapist in another jurisdiction and that regulatory body asks for information about this matter the College will be entitled to disclose the content of its investigation file with the other jurisdiction.
6. I acknowledge that after I resign my membership with the College, I will not be entitled to use the titles “physiotherapist”, “physical therapist” or any abbreviation thereof or equivalent in another language. I will not be entitled to hold myself out as, or imply that I am a person who is qualified to practice in Ontario as a physiotherapist/physical therapist and/or use my College registration number.