Self-Assessment
All Registrants who hold a General Certificate of Registration are required to annually complete the self-assessment component of the program.
The Quality Assurance Committee has designed various self-assessments based on different Standards of Practice and Guidelines. The self-assessments use questions and scenarios to help you evaluate and improve your practices where necessary. They are designed to be supportive and useful for your professional development and are a valuable opportunity for you to learn and grow as a professional.
Please note that the self-assessment component needs to be completed annually as part of your registration renewal and prior to the March 31 renewal deadline.
2026 Self-Assessment Questionnaires
For the 2026/2027 registration year, Registrants need to complete three (3) online self-assessment questionnaires.
These include two (2) mandatory Self-Assessments: Laboratory Testing and Record Keeping. In addition to these two mandatory self-assessments, Registrants need to complete one (1) more self-assessment of their choosing from the list of options below that suits their interests and needs.
NOTE: In total, Registrants must complete three (3) self-assessment questionnaires.
Mandatory Self-Assessments
Laboratory Testing
Laboratory testing is an integral part of naturopathic assessment and clinical decision-making. In Ontario, NDs are authorized to collect certain specimens and requisition specific laboratory tests as permitted under the Naturopathy Act, 2007, the General Regulation, and the Laboratory and Specimen Collection Centre Licensing Act, 1990 (LSCCLA). This authority requires NDs to understand the legal framework governing lab testing and to ensure that each test ordered is clinically appropriate, evidence informed and relevant to the patient needs. Clear communication about the purpose of testing, proper specimen collection, and the use of results supports informed consent, patient safety, and trust in the therapeutic relationship.
NDs are fully responsible and accountable for all aspects of laboratory testing within their authorized scope, including collection and handling of specimens, documentation, follow up, and accurate interpretation of results. Competent practice requires maintaining the knowledge, skill, and judgment needed to perform these activities safely and ethically, as well as ongoing self-assessment to align with current legislation, College standards, and best practices. By adhering to high quality and compliant laboratory procedures, NDs help ensure accurate diagnosis and treatment while upholding the integrity of the profession and promoting positive patient outcomes.
Record Keeping
Naturopathic Doctors must create and maintain accurate, legible, and complete patient records, whether these records are kept in paper files or electronic systems. Record-keeping practices must comply with the Personal Health Information Protection Act, 2004 (PHIPA) as well as the College’s Standard of Practice for Record Keeping. Together, these requirements outline how clinical information is to be documented, organized, and retained so that it supports safe, consistent, and effective patient care.
PHIPA sets out the rules for how personal health information may be collected, used, and disclosed within the healthcare system. Its purpose is to protect the privacy and confidentiality of individuals while still allowing health information to be shared appropriately for the provision of care. NDs are considered health information custodians under PHIPA when they have custody or control of patient records, and they must therefore ensure that records are stored securely, accessed only when appropriate, and retained or disposed of in line with legislative and College requirements. High-quality record keeping is essential to professional accountability, patient safety, and maintaining trust in naturopathic care.
The Lab Testing and Record Keeping Self-Assessments must be completed by all Registrants holding a General Class Certificate of Registration.
Additional Self-Assessments
Registrants must select one (1) of the following self-assessments to complete in addition to the two mandatory self-assessments. The additional self-assessment each focuses on an area of practice and are related to the Standards of Practice and Guidelines of the profession. The additional self-assessments are:
Equity, Diversity, Inclusion and Belonging (EDIB)
Restricted Titles and Dual Registration
Reporting
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 registration renewal deadline. The data gathered from the self-assessment is confidential and the outcomes are not shared amongst the College departments. The self-assessment is designed to help you identify and maintain competency in order to continue to provide safe, competent and ethical care to your patients.
Your Self-Assessment completion letter should be filed and maintained in your professional portfolio for a minimum of six (6) years. The letter will be reviewed by an assessor when you are randomly selected to undergo a peer and practice assessment.