Cross Provincial Practice Agreement – Implementation Date: July 4, 2022

 As part of ACSLPA’s work to eliminate barriers to service, the College has entered into an agreement between ourselves, the College of Audiologists and Speech-Language Pathologists of Ontario (CASLPO), the College of Audiologists and Speech-Language Pathologists of Manitoba (CASLPM), the New Brunswick Association of Speech-Language Pathologists and Audiologists (NBASLPA) and the Saskatchewan Association of Speech-Language Pathologists and Audiologists (SASLPA).

The purpose of this agreement is to allow for cross provincial practice either virtually or in person into a secondary province for up to a maximum of 200 direct client/patient service hours in a year.

Prior to the Initiation of this Agreement

Professionals were required to:

  • hold full registration in each province where they wished to provide services,
  • pay the full registration fee in each province, and
  • meet all continuing competence or quality assurance requirements in each province.

Effective July 4, 2022

The agreement will now allow registration in a secondary province (into <Ontario, Manitoba, New Brunswick, or Saskatchewan> for <ACSLPA> full registrants) for a reduced fee, and because the secondary registration is tied to the registrant’s primary registration, completion of the secondary province’s continuing competence/quality assurance program will not be required.

We hope that other provinces will sign onto the MOU as they are able.

Who does this agreement affect?

SLPs and audiologists who are involved in, or considering involvement with client service across Alberta, Ontario, Manitoba, New Brunswick, and/or Saskatchewan. The agreement allows for up to a maximum of 200 direct client/patient service hours of cross-provincial practice in a year (i.e., a 365-day period). Those professionals involved in greater than 200 hours of inter-jurisdictional practice will require full registration in both jurisdictions where they intend to practice.

If you are interested in cross provincial practice into another province, you will need to contact that province directly.

The Basics of this Agreement

  • Streamlined Registration
    • Must be in good standing in the primary province.
    • Must pay any applicable fees in the secondary province (less than in the primary province but will be determined independently in each province). If a practitioner is seeking courtesy registration for the purposes of the cross-provincial agreement into Alberta, the 2022 fee will be $200.00. Individual whose primary province is Alberta should seek information regarding cross provincial practice registration on the Ontario, Manitoba, New Brunswick, or Saskatchewan websites.
    • Must have professional liability insurance (PLI) that covers practice in the secondary province.
    • Will have to re-apply annually.
    • Ends immediately if registration is cancelled in the primary province.
  • Discipline/Conduct
    • Registrants must abide by rules in primary and secondary provinces.

Click here to access a chart outlining notable differences in rules across provinces.

  • Complaints may be filed in both provinces arising from the same concern.
  • The primary and secondary province will endeavor to coordinate the management of complaints to minimize duplication.
  • The primary and secondary provinces will share information regarding discipline and conduct where permissible.

Additional information regarding eligibility and restrictions for those seeking cross provincial registration into Alberta can be found on the ACSLPA website under Cross Provincial Practice Guide, including the cross provincial practice application form and verification form. Professionals who are registered in Alberta as their primary province and who are seeking cross provincial registration into Ontario, Manitoba, New Brunswick, or Saskatchewan should access their respective websites.

Please contact Susan Rafaat, ACSLPA Deputy Registrar,, with any additional questions.