Regulation Matters 2019 - Issue 2

Interjurisdictional Practice

Position Statement: Registration Requirement for Interjurisdictional Practice

At the March 2019 meeting, the Council of the College of Dietitians of Ontario (the College) approved the Position Statement: Registration Requirement for Interjurisdictional Practice. The position statement sets out the registration requirements for dietitians from outside of Ontario who wish to provide services to clients inside Ontario.

Position Statement Overview

Registration with the College is required for dietitians outside of Ontario who provide dietetic services to clients in Ontario through any virtual means (e.g. phone, online, etc.). Dietitians who are registered outside of Ontario who provide, even short-term, in-person dietetic services and/or use the dietitian title within Ontario must also be registered with the College. Some exceptions apply, refer to the position statement link above for details.

Jurisdictional Differences

Legislation of health care professions falls within the jurisdiction of the provinces. Each provincial dietetic regulator must conduct their own analysis of their legislation and determine whether registration is required for dietitians who provide cross-border dietetic services to clients in their respective provinces. Some provinces may require registration for interjurisdictional practice, while others may not. This is why dietitians may see regional differences for registration across the country. 

In Ontario, the College’s legislative authority is derived from the Regulated Health Professions Act, 1991, and the profession-specific legislation, the Dietetics Act, 1991.  Within these Acts, the College has a clear mandate to protect the public and ensure that only registered members use the dietitian title and hold themselves out as a person authorized to practice dietetics in Ontario when providing services to people in Ontario. As such, the College requires registration for all dietitians who provide services to clients in Ontario, whether those dietitians are physically located in Ontario or not. 

Dietitians registered in Ontario should check with the respective regulators where they are seeking to deliver dietetic services to ensure they are complying with their interjurisdictional registration requirements.