CCO Council approved amendments that reference the updated regulation related to the reporting of designated diseases under the Health Protection and Promotion Act, 1990 (HPPA). Amendments also summarize the protocol for making a mandatory report to the local officer of health when forming an opinion that a patient has or may have a disease of public health significance.
As primary contact health care providers, members have the duty under the HPPA to report to the local medical officer of health when they form an opinion that a patient has or may have a disease of public health significance. Although these designated diseases are outside the scope of a chiropractic consultation, examination diagnosis or clinical impression and plan of care, the HPPA requires certain regulated health professionals, including chiropractors, to report these designated diseases when they form an opinion that a patient has or may have a designated disease.
Please review the standard of practice for the proper protocol in making a report, the updated list of designated diseases and a link to the public health unit locator.
How this Affects Members
Members who use acupuncture within their practice, must ensure that they are using this treatment within the chiropractic scope of practice and based on a chiropractic consultation, examination, diagnosis or clinical impression and plan of care.
As well, members must ensure that they are representing to the public that they are using acupuncture as a chiropractor and not making any misrepresentations, including for billing purposes, that they are a member of the College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario.
Using titles such as “acupuncture provider” and “acupuncture clinic” is a variation of “acupuncturist”, contrary to the Traditional Chinese Medicine Act, 2006. It would be more accurate for a member to list acupuncture as an adjunctive therapy that is provided, in the context of providing chiropractic care. CCO advises members to ensure they are not using any restricted titles.
Federation of Health Regulatory Colleges of Ontario Resources – Videos on the Prevention of Sexual Abuse
CCO, like all Ontario regulatory colleges, is a member of the Federation of Health Regulatory Colleges of Ontario (FHRCO). FHRCO is a federation of all health regulatory colleges in Ontario, which develops a forum for inter-professional collaboration, develops training programs, and creates resources for colleges, regulated health professionals and members of the public.
Please visit
FHRCO’s website for a variety of resources related to care from your regulated health professional.
Please see the following two links for videos produced by FHRCO on the prevention of sexual abuse, which may be viewed for unstructured Continuing Education hours: