College of Occupational Therapists of Ontario

The College of Occupational Therapists of Ontario (COTO) is the regulatory organization that oversees the practice of occupational therapists (OTs) in Ontario. Our job is to make sure you receive safe, effective care from OTs.

In Ontario, you have the right to receive safe, competent and ethical care from an occupational therapist (OT).

You can be confident in that right because the government has laws and rules in place and the College holds OTs accountable for meeting professional standards.

Find an Occupational Therapist (Public List of Occupational Therapists)

Only people registered with the College of Occupational Therapists of Ontario (initially and each year through registration renewal) can practice occupational therapy in Ontario and use the title of occupational therapist or OT. These individuals are listed on the online directory Find an Occupational Therapist. It is important to know who is delivering your care. Checking Find an Occupational Therapist will confirm that the individual listed is qualified to deliver safe, ethical, and competent care.

Professional Practice

The College of Occupational Therapists of Ontario develops and enforces standards of practice, policies, guidelines and the code of ethics to which all OTs must adhere. Read about professional practice expectations and how the College supports OTs in the continued delivery of safe, effective, ethical care.

Quality Assurance

This College program promotes continuing competence and quality improvement for OTs. As practice environments and standards evolve, quality assurance helps OTs to maintain or enhance their knowledge and skills. Learn about the profession’s committment to continuous improvement.


People have a formal process to complain about OTs registered with the College, or about people who aren’t registered but who present themselves as OTs. It’s the College’s job to investigate all complaints, from anyone. Learn more about concerns and complaints.

Mandatory Reports

OTs and their employers must make mandatory reports to the College for incidents relating to: abuse of clients; employment terminations due to professional misconduct, incompetence or incapacity; offenses; negligence; malpractice; and child abuse. Read more about the legal obligation to file a mandatory report.

Patient Relations Committee

This Committee has oversight for concerns relating to the OT-client relationship. A focus is preventing all forms of abuse. The College maintains a zero tolerance policy for sexual abuse. Read about Sexual Abuse Prevention at the College and learn about College Committees.


Through a transparent and fair process, the College deals with any registered OT who has fallen below the standards of practice or committed an act of professional misconduct. Learn about the steps involved in discipline hearings and view public summaries of discipline hearings.

OTs are accountable for the quality of care they provide. Here are a few examples of how the College ensures that accountability.

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