As from July 12, 2015, the following Undertaking, Acknowledgement and Consent
by Dr. Jeremy Paul William Heaton is imposed as a term, condition and
limitation on the certificate of registration held by Dr. Heaton:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")
of
DR. JEREMY PAUL WILLIAM HEATON
("Dr. Heaton")
to
COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO
(the "College")
________________________________________________________________________
A. PREAMBLE
(1) I, Dr. Heaton, certificate of registration number 33091, am a member of
the College. The College has inquired into my compliance with the
requirement to participate in a program of continuing professional
development.
(2) I, Dr. Heaton, am currently not practicing medicine in Ontario.
B. UNDERTAKING
(3) I, Dr. Heaton, undertake to the College that, effective immediately, I
will not practise medicine in Ontario until each and every one of the
following conditions have been met:
(a) I provide a minimum of forty-five (45) days' notice to the College
of my intent to return to the practice of medicine;
(b) I provide the College with proof that I am participating in a
program of continuing professional development that meets the
requirements for continuing professional development of the Royal
College of Physicians and Surgeons of Canada, the College of Family
Physicians of Canada, or an organization that has been approved by
the College for that purpose that meets the requirements for
continuing professional development set by the Royal College of
Physicians and Surgeons of Canada or the College of Family
Physicians of Canada; and
(c) The College approves my return to the practice of medicine.
(4) I, Dr. Heaton, undertake to the College that upon signing this
Undertaking I shall forward a request to the General Manager of the
Ontario Health Insurance Plan ("OHIP") that my billing number be
deactivated for services rendered after the date I cease to practise and
before the date the College agrees that I may return to practise in
accordance with the terms of this Undertaking. If I do not have an active
Ontario Health Insurance Plan ("OHIP") billing number, I undertake to
provide proof of same to the College.
(5) I, Dr. Heaton, undertake to the College to abide by the terms of the
College's Policy on Practice Management Considerations for Physicians Who
Cease to Practise, Take an Extended Leave of Absence or Close Their
Practice Due to Relocation, a copy of which is attached hereto as
Appendix "A". I also undertake to abide by the College's Policy on
Physicians Re-entering Practice, a copy of which is attached hereto as
Appendix "B".
C. ACKNOWLEDGEMENTS
(6) I, Dr. Heaton, acknowledge that in exchange for this Undertaking, the
College has agreed to take no further action in relation to my failure to
participate in a program of continuing professional development.
(7) I, Dr. Heaton, acknowledge and agree that in considering my request to
return to practice, the Registrar may, among other things:
(a) request that I agree to specified terms, limitations or conditions
being placed upon my certificate of registration; and
(b) request that I enter into an appropriate assessment and/or
monitoring agreement with the College.
(8) I, Dr. Heaton, acknowledge and agree that I shall be solely responsible
for payment of all fees, costs, charges, expenses, etc. arising from the
implementation of any of the terms of this Undertaking.
(9) I, Dr. Heaton, undertake to comply with the terms and conditions of this
Undertaking and acknowledge that a breach by me of any term of this
Undertaking may constitute an act of professional misconduct and/or
incompetence, and may result in a referral of specified allegations to
the Discipline Committee or Fitness to Practise Committee of the College.
(10) I, Dr. Heaton, acknowledge and confirm that I have read and understand
the terms and conditions provided in this Undertaking and that I have
obtained independent legal counsel in reviewing and executing this
Undertaking, or have waived my right to do so.
(11) I, Dr. Heaton, acknowledge that this entire Undertaking constitutes
terms, conditions, and limitations on my certificate of registration for
the purposes of section 23 of the Health Professions Procedural Code,
which is Schedule 2 to the Regulated Health Professions Act, 1991, S.O.
1991, c. 18, as amended. I understand that this Undertaking shall be
information on the College's Register that is available to the public
during the time period that the Undertaking remains in effect.
D. CONSENT
(12) I, Dr. Heaton, give my irrevocable consent to the College to make
appropriate enquiries of OHIP and/or any person or institution who may
have relevant information, in order for the College to monitor my
compliance with the terms of this Undertaking.
(13) I, Dr. Heaton, acknowledge that I have executed the OHIP consent form,
attached hereto as Appendix "C" and that the consent forms part of this
Undertaking.
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