How to start an occupational therapy private practice in Canada: an operating checklist

How to start an occupational therapy private practice is partly an operating question: which clients and ages will the clinic serve, who will do each task, and how will records and appointments move? This checklist also helps teams considering how to start a pediatric therapy practice with speech therapy or physiotherapy in Canada outside Quebec.

This page is not legal, regulatory, tax or financial advice. Use fictional client information when testing a workflow.

Who to ask before opening a practice

Ask your own professional college or association about current practice expectations, funders about their processes, an accountant about tax and business records, and counsel about the proposed clinic. This page does not state a licensing, insurance, tax or legal requirement. Check current original sources before making a decision.

If you are researching how to start your own occupational therapy practice or how to start an occupational therapy business, keep a list of unanswered questions and the person who will confirm each answer.

Choose services, ages served and team roles

Write down the services and age groups the clinic intends to serve. A pediatric clinic may plan occupational therapy, speech-language pathology, physiotherapy or ABA services; each discipline needs a named owner for intake, sessions, plan review and family updates.

The same role map helps when considering how to start a speech therapy private practice or how to start a private practice as an SLP. Confirm any professional or supervision questions with your own college or association.

  • List proposed services and ages served, then identify which team role handles each service.
  • Assign owners for enquiry, intake, scheduling, documentation review, billing and family communication.
  • Plan how absences and handoffs will be recorded without losing the client’s current plan.

Plan space and equipment for OT, speech and physiotherapy

For each proposed service, map the rooms, equipment and accessibility questions to discuss with the team and appropriate advisers. A team planning to start a pediatric physiotherapy practice may need a different space and equipment list from an OT or speech clinic.

  • List rooms and equipment by service, including shared resources and booking conflicts.
  • Walk through a fictional client visit from arrival to departure.
  • Record questions about the proposed premises for the appropriate advisers.

Map scheduling, intake, consent and records

When considering how to open a speech therapy clinic in Canada, sketch the family’s journey from first enquiry through intake, consent, a scheduled visit, a session record and a reviewed note. Decide who follows up when a form or appointment changes. Ask the appropriate professionals to confirm consent and record practices for the clinic.

Plan recurring visits, staff and room conflicts, reminders and cancellations. Decide where the current treatment plan lives, how a clinician reviews a note, and what the family can see.

Plan family communication, funding records and invoices

Choose how families send requests, complete forms and receive updates. Assign responsibility for recording a completed service, reviewing its documentation, entering any funding amount or hours, and preparing an invoice. Keep the service record separate from any funder decision about payment.

TherapyCRM can prepare invoices from completed sessions with approved documentation. It does not submit insurance or government claims, including Ontario Autism Program claims. Ask funders about their processes and an accountant and counsel about the proposed billing approach.

Evaluate software with a private practice checklist

Test a fictional client through intake, a recurring appointment, a versioned plan, a session record, clinician review, a family update and an invoice. Check roles, exports and current plan and free trial terms against the clinic’s own checklist. This is an operating exercise, not a start-up cost estimate.

TherapyCRM serves practices in Canada outside Quebec and is available in English only. It is practice management software with a clinical record, not a physician EMR, and has no EMR certification. It has no telehealth or video visits and does not submit insurance or government claims, including Ontario Autism Program claims. Clinical and business decisions remain with the clinic.

Frequently asked questions

How do I start an occupational therapy private practice?

Start an operating checklist for services and ages served, team roles, space and equipment, intake, scheduling, records, family communication, billing and software. Ask your own professional college or association and advisers to confirm current requirements.

How do I start a speech therapy private practice?

Map the services, age groups, team roles, space, intake, consent, scheduling and documentation workflow. Confirm professional questions with your own college or association before acting on the plan.

What should a pediatric therapy private practice checklist cover?

Cover services and ages served, roles, rooms and equipment, scheduling, intake and consent, records, family communication, billing and funding records, and software evaluation. Assign an owner to each step.

How much does it cost to open a pediatric therapy clinic?

This guide gives no start-up cost figure. Obtain current quotes for the clinic’s proposed space, equipment, team, services and software, then ask an accountant to review the assumptions.

Where should a clinic check professional and business questions?

Ask your own professional college or association about practice questions, funders about their processes, an accountant about tax and business records, and counsel about the proposed clinic. Check current original sources.

Can TherapyCRM submit claims for a new clinic?

No. TherapyCRM can prepare invoices from completed sessions with approved documentation, but it does not submit insurance or government claims, including Ontario Autism Program claims.