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As of Right Legislation FAQs

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All physicians interested in entering under the As of Right route are encouraged to email [email protected] or call 1-800-268-7096 ext. 617 to discuss the requirements and eligibility.

For a copy of the attestation form required to pursue the As of Right route, click here. 


What is Ontario’s As of Right legislation?

As of Right legislation in Ontario allows qualified physicians from certain other jurisdictions to work in Ontario while completing their registration with CPSO. The As of Right route is meant to promote inter-jurisdictional mobility for select registered health professionals. As of June 5, 2025, this route is now available to American Board-certified physicians in addition to qualified physicians from other Canadian jurisdictions.

Who is eligible to practise in Ontario under the As of Right route?

In order to be eligible for the As of Right route, physicians must:

  • Hold the equivalent of an independent practice certificate from a Canadian or American jurisdiction (without any terms, limitations or conditions);
  • Not have been denied registration with a Canadian or American regulatory body within two years of applying for registration in Ontario;
  • Where the person is registered with an American regulatory body but not a Canadian one, be board-certified by a member board of the American Board of Medical Specialities or a certifying board of the American Osteopathic Association;
  • Use only speciality designations certification from a Canadian regulatory authority, the College of Family Physicians of Canada, the Royal College of Physicians and Surgeons of Canada, or a regulatory authority in an American jurisdiction;
  • Not have a finding of professional misconduct, incompetence or incapacity about or against them in a proceeding related to the profession;
  • Not be the subject of any current professional misconduct, incompetence or incapacity proceeding, or any similar proceeding related to the profession;
  • Hold professional liability insurance or benefits from professional liability coverage that extends coverage to Ontario;
  • Only provide professional services to residents of Ontario while the person is physically present in Ontario; and
  • Submit an attestation to the College confirming that they meet the requirements for the As of Right route.

How long are physicians eligible to practise under these terms?

Under the regulations, eligible physicians will have six months from the point of application to practise in Ontario without a license.

Where can I practise under As of Right rules?

Effective June 5, 2025, there are no practice setting restrictions for eligible physicians under the As of Right rules.

Can I find the profile of a physician practising under the As of Right program on the CPSO Physician Register?

Until physicians are registered with our College, they will not have profiles on our Register. To inquire about the practice history of physicians practising under the As of Right route who are unregistered with CPSO, individuals should consult with the regulatory body in the physician’s home jurisdiction.

If a patient has concerns about a physician registered outside Ontario, can they submit a complaint to CPSO?

CPSO cannot provide any regulatory oversight, including complaint investigation, until the physician is registered with the College. To convey concerns or complaints about physicians practising under the As of Right route, individuals should consult with the regulatory body in the physician's home jurisdiction.