The Health Professions Restricted Activity Regulation (HPRAR) and the College’s Standards of Practice outline the restricted activities for all of the College’s specialties.

What are advanced and enhanced authorizations?

These authorizations allow registrants to perform certain restricted activities (RAs) that go beyond what they were originally trained to do in their specialty.

Advanced practice authorization allows a registrant to perform advanced RAs that are part of their own specialty.

Enhanced practice authorization allows a registrant to perform RAs from another specialty, as long as it falls within the College’s regulatory framework.

In both cases, registrants must complete approved training and receive formal authorization. Once authorized, the new practice will appear on their practice permit.

See below for more details:

Authority

Sections 27, 29, 31, 25, 33(1) Health Professions Restricted Activity (RA) Regulation (HPRAR)

Purpose

Allows registrants to perform RAs that are not part of the specialties entry-to-practice competencies, but within their area of practice.

Conditions

  • The RAs must be outlined in the specialty’s “Restricted activities requiring advanced training” section of the HPRAR and the College’s standards of practice.
  • The registrant must complete advanced training approved by Council.
  • The registrant must receive official approval from the registrar, with their authorization reflected in the professional register.

Authority

Section 33(1) Health Professions Restricted Activity (RA) Regulation (HPRAR)

Purpose

Enables registrants to perform RAs outside their usual area of practice in their specialty but within the college’s practice framework.

Conditions 

  • The RA must already be authorized for one of the specialties in the HPRAR and the College’s standards of practice.
  • Approval from Council is required to add the RA as an enhanced practice.
  • The registrant must complete advanced training approved by Council.
  • The registrant must receive official approval from the Registrar, with their authorization reflected in the professional register.
Advanced Practice Authorization Enhanced Practice Authorization
Authority Sections 27, 29, 31, 25, 33(1) Health Professions Restricted Activity Regulation (HPRAR) Section 33(1) Health Professions Restricted Activity Regulation (HPRAR)
Purpose Allows registrants to perform RAs that are not part of the specialties entry-to-practice competencies, but within their area of practice. Enables registrants to perform RAs outside their usual area of practice in their specialty but within the college’s practice framework.
Conditions
  • The RAs must be outlined in the specialty’s “Restricted activities requiring advanced training” section of the HPRAR and the College’s standards of practice.
  • The registrant must complete advanced training approved by Council.
  • The registrant must receive official approval from the registrar, with their authorization reflected in the professional register.
  • The RA must already be authorized for one of the specialties in the HPRAR and the College’s standards of practice.
  • Approval from Council is required to add the RA as an enhanced practice.
  • The registrant must complete advanced training approved by Council.
  • The registrant must receive official approval from the Registrar, with their authorization reflected in the professional register.

MRT(R)

MRT(MR)

MRT(NM)

MRT(T)

ENP

When all requirements have been satisfied, authorization will appear on their practice permit indicating the achievement of an advanced skill set. Registrants granted authorization are required to verify the maintenance of competence upon renewal each year.

How to Apply for Advanced Practice Authorization

  • Log in to the College Portal, click “My Profile” on the left, then select “Edit Profile” at the top.
  • In the Advanced and Enhanced Practice Authorization Application section, click “Add”.
  • Choose your specialty and the authorization you’re applying for (only one at a time).
  • Enter your program completion details and upload required documents (e.g., certificate, skills checklist).
  • Add your supervisor’s name and valid email (they’ll verify your application).
  • Complete the Member Declaration by checking all boxes.
  • Scroll down and click “Submit” if no other profile changes are needed.
  • Wait for an email from the College with approval or a request for more information.