How Practice Advice Can Help You


College Practice Advisors

Fiona Campbell, PT, Shari Hughes, PT
and Kelly Schmitt, PT

Physiotherapists, patients and the public can contact the College for confidential practice advice. This service is offered as a support to physiotherapists and to promote quality practice. Members of the public can also use the practice advisory service for a better understanding of the expectations around physiotherapy practice.

Matters identified through the practice advisory service provide the College a broad perspective of emerging trends and issues related to the delivery of physiotherapy care. Information gained through practice advice is used to inform the work of the Professional Practice Team and to identify practice trends.
For confidential practice advice on College Standards, regulations, regulatory issues, ethical decision making, or general questions about physiotherapy practice please contact the Practice Advisor or 647-484-8800 or 1-800-583-5885 ext. 241.

Practice Advice

Free and anonymous advice: | 647-484-8800 | 1-800-583-5885 ext. 241


Practice Advice Question of the Month: January 2018


I work on an inter-collaborative care team and suspect one of the other health care providers maybe be sexually abusing a patient. I know I must file a mandatory report but what College do I file it with? My College, theirs or both? 


If you become aware that another regulated health care provider may have sexually abused a patient, you must report the incident to the College of that healthcare provider.

Mandatory Reporting page 

Boundaries and Sexual Abuse Standard

FAQs - Use of Title



FAQs—Billing Practices

  • I have worked in a few different private practices over the years. Recently I heard rumors about shady business practices at my previous employer’s clinic.

  • My employer has proposed a new billing model that makes me uncomfortable. What should I do?

  • I am planning to start a personal training business with clients who have physiotherapy coverage under their health plan. Can I do this?

  • Where I work all the billing is taken care of by the office manager. What do I need to be concerned with?

  • Can I use my name and registration number on the invoice so my patient can be reimbursed for their massage therapy treatment?


  • As a PT, I've often heard that consent is a conversation, not a form. What exactly does that mean?

  • What is a lock box?

FAQs—Controlled Acts

  • Do I need to roster for each controlled act or can I roster once for all of them?

  • Can I delegate O2 titration to a physiotherapist assistant (PTA)?

  • The PTA will need to switch the patient from the wall supply to a portable O2 tank, and stay at 2 L/min. Does this require delegation?

  • I have a patient who is on 2 LPM (L/min) of oxygen by nasal prongs. I want to assign gait training to a physiotherapist assistant (PTA). The PTA will need to switch the patient from the wall supply to a portable O2 tank, and stay at 2 L/min.

  • Are physiotherapists allowed to increase a patient’s supplemental O2 level (via nasal prongs) to keep their O2 sats up during ambulation or exercise?

FAQs—Interprofessional Collaboration

FAQs—Leave, Resigning & Retirement

  • What do I need to do with the College when I am about to go on a maternity leave?

  • What do I need to do when I am returning from a maternity leave?

  • Do I need insurance coverage when I take parental leave, and I am not practicing? What should I look for in my insurance policy?

FAQs—Record Keeping

  • How long should records be kept?

  • Are abbreviations acceptable for physiotherapists to use in patient records?

  • Do I need to sign my full name and title every time I make an entry?

  • How often do I need to chart?

  • How should I reference documents that are not part of the patient record?

  • If a record is converted from paper to an electronic format does the original paper copy need to be kept?

  • My patient has asked for a copy of their patient record. How much can I charge for providing a photocopy?

  • What do I need to consider when using abbreviations, care maps, exercise flow sheets, or charting by exception in patient records?

  • What information should be in the financial record?

  • What information should be included in a discharge summary or end of care note?

  • Where should patient records be kept for PTs who retire?

FAQs—Relationships & Boundaries

  • I don’t understand why PTs can’t date their patients. If we’re all consenting adults then what’s the big deal?

  • A PT student on a placement with me has been regularly having coffee with one of the patients. What should I do?

FAQs—Starting a Practice


FAQs—Working with PTAs

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