All Registrants who hold a General Certificate of Registration, have a mandatory annual Quality Assurance (QA) duty to complete the self-assessment component of the program.

The Quality Assurance Committee has developed a number of online self-assessments to be completed by Registrants.  These self-assessments are based on various Standards of Practice and Guidelines and use questions and scenarios to help you, by allowing you to assess and update your practices where necessary. Although this may seem like additional work at an already busy time, the program is highly supportive to Registrants and something you will find very user friendly and helpful.

The self-assessment component needs to be completed annually as part of your registration renewal and prior to the March 31 renewal deadline.

Self-Assessment Questionnaires

For the 2023 registration year, Registrants are required to complete a total of three (3) self-assessment questionnaires.  This includes one (1) mandatory Sexual Abuse and Boundaries Self-Assessment and two (2) additional self-assessments of their choosing.

Mandatory Self-Assessment

As regulated health professionals, NDs are required to always maintain professional boundaries. The trust inherent in the professional-patient relationship is reflected in Registrants’ ethical obligations and legal requirements to maintain appropriate boundaries and report any instances of sexual abuse by a regulated health professional.

Boundary violations occur when a Registrant does not establish and/or maintain the boundaries of a professional relationship with their patient and/or abuses their power. A boundary violation is the point at which a relationship changes from professional and clinical to unprofessional and inappropriate. Boundary violations exploit the power imbalance inherent in the Registrant-patient relationship.

Understanding the importance of boundaries and respecting boundaries is critical to the prevention of sexual abuse.

The Sexual Abuse and Boundaries Self-Assessment must be completed by all Registrants holding a General Class Certificate of Registration.

Sexual Abuse and Boundaries Self-Assessment

Additional Self-Assessments

Registrants must select two (2) of the following self-assessments to complete in addition to the mandatory Sexual Abuse and Boundaries Self-Assessment.  The additional self-assessments each focus on an area of practice and are related to the Standards of Practice and Guidelines of the profession.  The additional self-assessments are:


Conflict of Interest


Fees and Billing

Informed Consent

Mandatory Reporting

Record Keeping

Restricted Titles and Dual Registration



When completing your registration renewal form, you will be asked to confirm that you have completed your annual Self-Assessment Questionnaires. The College will provide you with a letter of completion following the March 31 deadline. We will not review the details of your Self-Assessment Questionnaires except to confirm completion. The data gathered from the self-assessment is confidential and your results will not be shared amongst the College departments. The self-assessment is designed to help you identify and maintain competency as well as to advance professionally to provide safe and ethical care to your patients.

The College recommends filing the completion letter in your professional portfolio for a minimum of six years. The letter will be reviewed by an assessor when you are randomly selected to undergo a peer and practice assessment.