For Canadian practices outside Quebec

Therapy clinic compliance in Canada: rules by province

Therapy clinic compliance in Canada outside Quebec means answering to three layers at once: federal law, the law of the province or territory, and the rulebook of each clinician’s own regulator. This hub links a page for every province, one for the territories, one for the federal layer and six side-by-side tables. Every rule on those pages points to the official source we read, with the date we last checked it.

This page is information, not legal advice. Each rule links to the official source we read on 2026-10-08; confirm it there before acting.

Last checked: 2026-10-08

Therapy clinic regulations in Canada: three layers of rules

Therapy clinic regulations in Canada come from three places at once. Federal law matters for privacy, email marketing, tax and advertising. Provincial and territorial law covers health privacy, children, employers and safety. And each clinician answers to a regulator whose practice standards often matter most for records, fees and advertising. Those standards differ by profession, even inside one province.

The table shows six examples, each from an official page we read. They are examples of difference, not a complete list of rules.

  • Federal layer: PIPEDA where no provincial law displaces it, the federal anti-spam law (CASL), Canada Revenue Agency tax rules and the Competition Act on advertising. We found no federal licence for a private clinic; the federal page sets out what each source says.
  • Provincial or territorial layer: a health information Act or a private-sector privacy law, child-protection reporting duties, employment standards, occupational safety and workers’ compensation. Each province has its own page, and the three territories share one.
  • Clinician regulator layer: the standards of the college, regulator or funder that governs each profession in the building. Check each clinician’s own regulator. These pages do not state that one regulator’s rule is the rule for a whole clinic.
Examples of rules that differ by profession or place
TopicApplies toWhat the official source says
Advertising testimonialsOntario speech-language pathology (CASLPO)The CASLPO advertising standards say advertising must not contain patient testimonials, and that registrants must not solicit or include reviews in advertising.caslpo.com
Advertising testimonialsOntario physiotherapy (CPO)The College of Physiotherapists of Ontario says testimonials can be used in physiotherapy advertisements if they are true, verifiable and accurate, and written by patients who received care rather than paid for or written by staff.collegept.org
Record retentionLicensees of the BC regulator CHCPBCThe CHCPBC records standard says to keep a complete patient record for at least 16 years from the last encounter, or 16 years from the date the patient reaches the age of majority, whichever date is later.chcpbc.org
Disability tax credit certificate (form T2201, version 23)Speech-language pathologists and occupational therapistsThe form lets a speech-language pathologist certify an impairment in speaking. Its note says an occupational therapist can only certify limitations for walking, feeding and dressing.www.canada.ca
Behaviour analyst titleOntarioThe BACB notice says that from 1 July 2024 only members of the College may use the title behaviour analyst in Ontario, and that there are no regulatory requirements for assistant behavior analysts or behavior technicians.www.bacb.com
Medical expense tax credit practitioner listBehaviour analystsThe CRA list shows behaviour analysts as authorized in Ontario only (effective 1 July 2024). The table shows “not applicable” for the other provinces and the territories.www.canada.ca

Source dates: the BACB notice is dated 09/2023, the CPO advertising resource page shows an effective date of 1 May 2025, and the CRA list was modified on 2026-01-22.

Therapy clinic compliance by jurisdiction: main privacy law

The table names the main privacy law for a private therapy clinic in each jurisdiction and links to it. The page for each jurisdiction explains who counts as a custodian or trustee, what a breach triggers, which regulators matter for each profession and what applies to the clinic as a business and employer.

Where the table says the OPC list does not name a law, that is a statement about one OPC page. The OPC says the question of which privacy law applies is decided case by case, so ask the privacy commissioner or a lawyer about your clinic.

Main privacy law by jurisdiction
JurisdictionMain privacy law for a private therapy clinicWhat the official source adds
OntarioPersonal Health Information Protection Act, 2004 (PHIPA)www.ontario.caA federal exemption order exempts health information custodians to which PHIPA applies from Part 1 of PIPEDA for the collection, use and disclosure of personal information that occurs within Ontario.laws-lois.justice.gc.ca
British ColumbiaPersonal Information Protection Act (PIPA)www.bclaws.gov.bc.caThe OPC lists BC’s PIPA among the provincial laws considered substantially similar to PIPEDA.www.priv.gc.ca
AlbertaHealth Information Act for custodians; Personal Information Protection Act for private-sector organizationskings-printer.alberta.caAlberta’s privacy commissioner says amendments to the Health Information Act came into force on 22 June 2026, and that regulated members of 13 designated colleges, including physiotherapists, are custodians.oipc.ab.ca
SaskatchewanHealth Information Protection Act (HIPA)publications.saskatchewan.caSaskatchewan’s privacy commissioner says reporting a breach to the commissioner is not mandatory for trustees, although it encourages proactive reporting.oipc.sk.ca
ManitobaPersonal Health Information Act (PHIA)web2.gov.mb.caThe OPC list of provincial laws that may apply instead of PIPEDA does not name this Act.www.priv.gc.ca
Nova ScotiaPersonal Health Information Act (PHIA)nslegislature.caThe OPC lists Nova Scotia’s Personal Health Information Act as substantially similar to PIPEDA.www.priv.gc.ca
New BrunswickPersonal Health Information Privacy and Access Act (PHIPAA)laws.gnb.caThe OPC lists this Act as substantially similar to PIPEDA.www.priv.gc.ca
Prince Edward IslandHealth Information Actwww.princeedwardisland.caThe OPC list of provincial laws that may apply instead of PIPEDA does not name this Act.www.priv.gc.ca
Newfoundland and LabradorPersonal Health Information Act (PHIA)www.assembly.nl.caThe OPC lists this Act as substantially similar to PIPEDA. A government review of the Act is in the dated changes table below.www.priv.gc.ca
Yukon, Northwest Territories and NunavutPersonal Information Protection and Electronic Documents Act (PIPEDA) for private commercial activity.laws-lois.justice.gc.caThe OPC says organizations in the three territories are considered federally regulated and covered by PIPEDA.www.priv.gc.ca
FederalPersonal Information Protection and Electronic Documents Act (PIPEDA)laws-lois.justice.gc.caPart 1 applies to personal information an organization collects, uses or discloses in the course of commercial activities (section 4(1)).laws-lois.justice.gc.ca

Quebec is outside the scope of these pages.

Six comparison tables for therapy clinic regulations

Six topics recur across the provinces and territories, and a clinic with several professions needs them side by side. Each table page compares the jurisdictions side by side and links each rule to the official text where we found one. Where two official sources disagree, the page shows both links and does not choose between them.

  • Record retention by province: how long each regulator or privacy law says to keep client records, and when the clock starts for a child. The BC regulator CHCPBC, for example, sets at least 16 years from the last encounter or from the age of majority, whichever is later [HUB-1].
  • Privacy breach reporting by province: whether a statute names a regulator to tell. Federal regulations require a record of every breach of security safeguards to be kept for 24 months [HUB-2]. BC’s commissioner guide says organizations can report breaches to the commissioner [HUB-3], and Saskatchewan’s commissioner describes reporting as not mandatory for trustees [HUB-4].
  • Child-abuse reporting and minor consent: the duty falls on any person who has the information, and the age line differs. Yukon’s government page refers to a child or youth under 19 [HUB-5]; the Northwest Territories’ Act defines a child as under 16 [HUB-6]; Nunavut’s Family Services sheet describes a child as 0 to 16 years of age [HUB-7].
  • Criminal record checks for therapy staff: the RCMP says no federal legislation requires any organization to conduct vulnerable sector checks [HUB-8]. Some funders and regulators ask for them, for example the OAP Provider List at its three-year renewal [HUB-9] and the Northwest Territories psychologist application [HUB-10].
  • Therapy receipt and fee rules: what each regulator, funder or insurer says an invoice, receipt or cancellation charge must show.
  • Reviews and testimonials rules: Ontario’s speech-language pathology and physiotherapy regulators differ, as the first table on this page shows, and the Competition Bureau’s digest describes fake and incentivized reviews as a misleading-advertising issue [HUB-11].

Official sources

  1. [HUB-1] CHCPBC Practice Standard: Records. Section 6.1 sets the 16-year retention rule for licensees of the BC regulator.
  2. [HUB-2] Breach of Security Safeguards Regulations (SOR/2018-64). Section 6 requires a record of every breach for 24 months after the day the organization determines the breach occurred; regulations current to 2026-09-21.
  3. [HUB-3] OIPC British Columbia: privacy breach quick reference guide. Says organizations can report breaches to the commissioner.
  4. [HUB-4] Saskatchewan IPC: privacy breach guidelines for trustees. Describes proactive reporting to the commissioner as not mandatory.
  5. [HUB-5] Government of Yukon: report child abuse. Says a person who believes a child or youth under 19 is or is likely to be harmed has a legal responsibility to report it; page modified 2026-02-25.
  6. [HUB-6] Northwest Territories Child and Family Services Act. Section 8 sets the duty to report a child in need of protection; the definition of child refers to a person under 16 years of age.
  7. [HUB-7] Government of Nunavut Family Services: duty to report. Describes a child as 0 to 16 years of age and sets out section 8 of the Child and Family Services Act.
  8. [HUB-8] RCMP: vulnerable sector checks. States there is no federal legislation requiring any organization to conduct vulnerable sector checks; page modified 2026-01-14.
  9. [HUB-9] OAP Provider List: renewal process. Describes a full renewal every three years with a new vulnerable sector check and proof of professional liability insurance.
  10. [HUB-10] Northwest Territories psychologist licence application package. Checklist items ask for a criminal record check and vulnerable sector search dated within 6 months of application.
  11. [HUB-11] Competition Bureau: Deceptive Marketing Practices Digest, Volume 1. Section 3 describes astroturfing, including employee-posted and incentivized reviews; page modified 2024-07-22.

Dated changes for therapy clinics in Canada

Every date below is absolute and comes from the official page named in the last column, which we read on 2026-10-08. Re-open the source in the week before a date, because governments revise these pages.

The federal items without a fixed date are proposals, not law. Bill C-36 (an act to enact the Protecting Privacy and Consumer Data Act and amend PIPEDA) was introduced and read a first time on 15 June 2026, and LEGISinfo lists it at second reading in the House of Commons [HUB-12]. Finance Canada’s July 2026 explanatory notes propose changes to who can certify the disability tax credit, for certificates issued after 2026 [HUB-13].

Dated changes from September 2026 to March 2028
DateWhereWhat the official source says
30 September 2026Newfoundland and LabradorWritten submissions to the review of the Personal Health Information Act closed (online input closed on 21 September 2026). The Premier said on 25 June 2026 that legislative changes on parental access to children’s records would be introduced in the fall of 2026; the pages we read give no bill date.www.gov.nl.ca
19 October 2026British ColumbiaThe CHCPBC says its redesigned website launches on this date, so links to chcpbc.org pages may change.chcpbc.org
4 December 2026FederalThe OPC stops accepting comments on its draft guidance on assessing third-party service providers.www.priv.gc.ca
31 December 2026OntarioDeadline for accessibility compliance reports from businesses and non-profits with 20 or more employees.www.ontario.ca
31 December 2026OntarioThe OAP Provider List gives 31 December as the yearly renewal deadline for the annual declaration of compliance.oapproviderlist.ca
1 January 2027AlbertaThe Care-First automobile insurance system starts, and the province says Care-First forms must not be used before that date.www.alberta.ca
1 March 2027OntarioHealth information custodians must give the Information and Privacy Commissioner the yearly report on personal health information that was stolen, lost or used or disclosed without authority (O. Reg. 329/04, section 6.4).www.ontario.ca
31 March 2027British ColumbiaThe Autism Funding Program ends, and all approved services must be delivered by this date.www2.gov.bc.ca
1 April 2027British ColumbiaThe province’s timeline says the Disability Benefit becomes available to all eligible families.www2.gov.bc.ca
16 April 2027Prince Edward IslandAll time tracking logs for the 2026-27 fiscal year of the preschool autism funding must be submitted by this date.www.princeedwardisland.ca
30 April 2027AlbertaThe Health Information Regulation (AR 70/2001) expires unless it is re-passed.kings-printer.alberta.ca
31 May 2027British ColumbiaFinal deadline for families receiving Direct Payment to submit the Accountant Confirmation Form and supporting documents.www2.gov.bc.ca
July 2027British ColumbiaThe province’s timeline says Disability Supplement payments begin.www2.gov.bc.ca
July 2027FederalThe CRA recalculates Child Disability Benefit payments every July; for July 2026 to June 2027 it lists up to $3,480 for each eligible child.www.canada.ca
30 September 2027British ColumbiaFinal deadline to submit autism funding invoices and reimbursement requests for eligible services and purchases made on or before 31 March 2027.www2.gov.bc.ca
31 March 2028FederalAn Indigenous Services Canada briefing note says Jordan’s Principle has baseline funding of about $780 million a year through to this date.search.open.canada.ca

The BC funding page contains one sentence that gives 1 April 2027 as the end of Autism Funding, while its key-dates list gives 31 March 2027. The table uses the key-dates list. The Newfoundland and Labrador row also relies on the Premier’s statement of 25 June 2026, linked in the sources below.

Official sources

  1. [HUB-12] LEGISinfo: Bill C-36, 45th Parliament, 1st session. Shows introduction and first reading on 15 June 2026 and a current status of second reading in the House of Commons.
  2. [HUB-13] Finance Canada: explanatory notes to legislative proposals relating to the Income Tax Act, July 2026. Describes proposed disability tax credit changes; the notes say they are for information purposes only.
  3. [HUB-14] Government of Newfoundland and Labrador: statement by the Premier, 25 June 2026. Says the government will review the Personal Health Information Act and introduce legislative changes in the fall on parental access to children’s medical records.

How to use these therapy clinic compliance pages

The pages are built to be checked, not trusted. Use them to find the official source quickly, then read the source.

  • List every profession in the building, such as speech-language pathology, occupational therapy, physiotherapy, psychology, behaviour analysis and assistants, and open each clinician’s own regulator or funder for your province.
  • Read your province or territory page for health privacy, working with children, running the clinic as a business and employer, and funding programs. Then read the federal page.
  • Use the six tables when one policy must cover several professions. Read the rows for every clinician before writing the clinic’s policy, and ask each regulator how its rule applies to work done in a shared clinic.
  • Where two official sources disagree, a page shows both links and says so. It does not pick one.
  • Where a cell says “not found on the official pages we read”, we looked and found nothing. That does not mean no rule exists. Ask the regulator.
  • Check the Last checked date on each page and the date on the source itself, and re-check before acting, especially around the dates in the calendar above.

Where TherapyCRM fits next to these rules

TherapyCRM is practice management software with a clinical record for English-language clinics in Canada outside Quebec. It is not a physician EMR. Nothing on these pages says that TherapyCRM meets any rule listed here, and a clinic remains responsible for its own policies, its regulators’ standards and its legal advice.

TherapyCRM’s funding tracking is built around the Ontario Autism Program; it does not support the other funding programs named on these pages.

Frequently asked questions

Which rules apply to a private therapy clinic in Canada outside Quebec?

Three layers apply together: federal law such as PIPEDA, CASL and tax rules; the law of the province or territory on health privacy, child protection, employment, safety and workers’ compensation; and the practice standards of each clinician’s own regulator. Start with the page for your province or territory, then the federal page, then the tables that compare regulators.

Does every province have a separate health privacy law?

Ontario, Saskatchewan, Manitoba, Nova Scotia, New Brunswick, Prince Edward Island, and Newfoundland and Labrador each have a health information Act, and Alberta has a Health Information Act alongside its Personal Information Protection Act. British Columbia’s privacy law for private organizations is its Personal Information Protection Act. The OPC says organizations in the three territories are covered by PIPEDA, and Yukon also has HIPMA.

Is behaviour analysis a regulated profession in Canada?

In Ontario, the title behaviour analyst has been restricted to members of the College since 1 July 2024, according to the BACB notice, and the CRA lists behaviour analysts as authorized medical practitioners for Ontario only. For other provinces and territories we did not find a regulator on the official pages we read. Funder policies, such as Yukon’s Disability Services policy D.2, set who delivers funded ABA.

What does “not found on the official pages we read” mean?

It means we looked for a rule on the official pages listed and did not find one. It does not mean that no rule exists. Ask the relevant regulator or a lawyer before relying on the absence of a rule.

Do these pages cover Quebec or French-language rules?

No. These pages cover private clinics in Canada outside Quebec, in English only.

How current is the information on these pages?

Each page shows the date we last checked its official sources. The dated changes table lists deadlines with the source page for each. Re-open the source before acting, because governments and regulators revise their pages and rules.

Does using TherapyCRM satisfy the rules on these pages?

No page here says it does. TherapyCRM is practice management software with a clinical record, and a clinic remains responsible for its own policies, its regulators’ standards and its legal advice.

Is this legal advice?

No. It is information drawn from official sources. For a decision about your clinic, ask your regulator, a lawyer or an accountant.

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