Complaints or concerns about an occupational therapist

Our duty to respond

Under the Regulated Health Professions Act, 1991, the College has a duty to respond to complaints about the practice or conduct of members of the profession.

Among the reasons for complaints are concerns that an occupational therapist has:

  • failed to communicate their role or the expected service plan clearly
  • failed to obtain informed consent
  • produced reports that contain inaccurate information
  • failed to maintain appropriate professional boundaries
  • sexually abused a client

Information about sexual abuse

COTO has a zero tolerance policy toward sexual abuse of a client. Learn more about what it is, how you can get support if it happens to you, and what the College can do about it.

Reporting concerns if you are not a patient

If you have concerns about an occupational therapist and are not their client or their client’s representative, please use the Report Form to inform the College. College staff will follow up with you regarding your concerns.

The steps of the College process are listed in the Complaints Process section below. Each step is designed to be fair.

Share concerns or report information

If you wish to submit a complaint, you can do so by completing our online complaint form or you can report your concerns to the College: in writing, by telephone, by audio recording, or by video recording.

You must provide

the name of the occupational therapist you are concerned about

as much detail as possible about the nature of your concerns

your full contact information

We can help you if you are unsure of the occupational therapist’s name.

You will also be engaged in the process and notified of the outcome.

Understanding how the complaint process works

The College’s formal complaints process is designed to be fair to both the person filing the complaint and to the occupational therapist named. The occupational therapist will receive a copy of the complaint.

As part of its investigation, the College may contact you and ask that you provide additional information. The College may also obtain your clinical record relating to the occupational therapy services of concern.

See the steps below:

Review the complaints process

If you have concerns about the practice of an occupational therapist, you can contact the College’s Investigations & Resolutions Team by email or phone to discuss the matter.

Before filing, you can contact us to discuss the complaints process. Call us at 416-214-1177 or 1-800-890-6570 x220. At this point you don’t have to share your name. But if and when you decide to make a formal complaint, you will be required to identify yourself.

Put together information about the complaint

Provide a detailed description of your complaint in writing (letter or email) or on a recording (film, disc, audio or video recording). 

Include the following:

  • Your full name (complaints cannot be made anonymously)
  • Your mailing address, telephone and email contact information
  • The full name and address of the occupational therapist
  • A clear statement that you are submitting a complaint
  • Specific date(s) of the occurrence
  • Detailed description of the occurrence and your concerns
  • The names and contact for other occupational therapists, other health care practitioners or any other people who may have relevant information
  • Supporting evidence (for example, photographs, witness statements, etc.)
  • Discussions with the occupational therapist about the concerns (if you have raised the issue) and the outcomes

Submit your complaint

You can mail, fax, email, or use our online form to submit your complaint to the College. 

Office of the Registrar

College of Occupational Therapists of Ontario
20 Bay Street, Suite 900
PO Box 78
Toronto, Ontario M5J 2N8
Fax: 416-214-0586
Email: investigations@coto.org

The online form provides space for you to describe your interaction with the occupational therapist and upload any documents you believe are relevant. 

Once you submit your complaint, College staff will contact you to discuss the process and obtain any necessary additional details.

How the College makes decisions about complaints

All complaints against OTs are addressed by our Inquiries, Complaints and Reports Committee (ICRC). Learn how they make their decisions about an OT’s conduct or practice.

Alternative Dispute Resolution (ADR)

ADR is a method used by the College to resolve some complaints. Learn more about what it is, how it’s used, benefits and outcomes, and what happens if a solution is not found. 

Related resources

Resource

Complaints Process

Practice Guidance

Decision-Making Framework, 2021

Practice Guidance

Determining Capacity Decision Tree

Standards

Code of Ethics, 2020

Next steps and contacts

Questions about our complaint process?

See our Frequently Asked Questions to learn more about the complaints process.

Need accommodations?

To see how we can help you, please contact our Investigations & Resolutions team.

Toronto: 416-214-1177 x220
Toll-free: 1-800-890-6570 x220

Get in touch

In addition to providing resources, we’re here to answer any questions you may have.