You will be able to provide direct care to those who live in the province where you hold a Cross-Provincial Practice registration. You can provide up to 200 hours of client/patient care. This is a sum total of all the direct care hours for all your clients/patients. This is not 200 hours per client/patient.

Your Cross-Provincial Practice registration will be valid for 12 months from the date on which you receive your Cross-Provincial Practice registration in that province. Your Cross-Provincial Practice registration will expire after 12 months.

If you wish to continue practicing in that province, you must re-apply for a new registration.

Why isn’t there an annual renewal?

The participating provinces designed this license to meet short term, limited needs of client/patients. Typically, these are patients/clients who need follow-up care from their original provider in another province, or do not have access to comparable care where they live. The likelihood is most applicants will be able to provide effective care within 12 months.

If a full practicing registration would better meet the client/patient needs, that is always an option.

Can I work beyond the 12-month limit of the Cross-Provincial Practice registration?

If you wish to continue to provide services to any clients/patients in the secondary province, after your 12-month registration has expired, you must re-apply to the secondary province.

Do I have to be working in my primary province?

Yes, not only must you be working in your primary province, the majority of your direct client/patient care must be in your primary province. The total amount of client/patientcare across all the secondary provinces in which you are registered must be less than the total amount of care you provide in your primary province. For example, if your primary registration is in New Brunswick and you work ½ time, this can be considered approximately 672 hours of direct client/patient care (approximately 17.5 hours per week over 48 weeks and assuming 80% of your working hours are direct client/patient care). Therefore, you must keep the total direct client/patient care hours, across all provinces where you hold a secondary registration, under 672 hours.