Written by AI from public information on 2026-10-26. Fees and rules change and vary by province — confirm with the official body before relying on anything here.
Typical cost
about CA$1,500 to CA$3,000
an estimate in Canadian dollars
Time to earn it
about 2 years
Issued by Provincial occupational therapy regulators; national exam through the Canadian Association of Occupational Therapists
Required to start: Working as an occupational therapist needs registration with the provincial college.
About
Occupational therapists help people take part in the everyday activities that matter to them. This can mean self-care, work, school or leisure. Clients may be children, adults or older adults. They may be living with injury, illness, disability or aging.
Each province and territory has its own regulator, called a college. The college protects the public by setting standards and deciding who may use the title occupational therapist. You cannot practise or use the title without being registered. The national exam is offered through the Canadian Association of Occupational Therapists. It is used by the provincial regulators as part of the registration process.
How to get it
Complete an accredited degree
Earn a master's level entry-to-practice degree in occupational therapy from a recognized Canadian university program. This is the main education requirement for registration. Most programs include supervised fieldwork placements.
Pass the national exam
Register for and write the national occupational therapy certification exam. You usually take it near the end of your program or soon after graduating.
Apply to your provincial or territorial college
Submit your application, transcripts, proof of exam results and identity documents. You will also pay the application and registration fees set by the college.
Meet the college's other requirements
Colleges may ask for a criminal record check, proof of language ability and professional liability insurance. Some also require proof that you are legally able to work in Canada.
Receive your registration and start practising
Once approved, you are added to the college's public register. You can then work as an occupational therapist in that province or territory.
The exam
The national exam is a written, computer-based test. It checks that you can apply your knowledge safely and effectively in real practice situations. It covers the main areas of occupational therapy work. Candidates should study the exam guide and practise with sample questions before test day. If you do not pass, you can usually retake it according to the rules in place.
Licensed by each province
Each province and territory issues this itself, under its own rules. Each province and territory sets its own application steps, fees, forms and renewal rules. Some require extra items, such as a jurisprudence or ethics module. Moving to another province usually means applying to that college, although labour mobility agreements can make the process easier for already registered therapists. Internationally educated applicants may face added credential review steps. Always check with the college where you plan to work.
Keeping it
Registration must be renewed on a regular schedule set by your college. Renewal usually involves paying a fee and confirming that you are still fit to practise. Most colleges also expect ongoing learning, such as reflecting on your skills and recording professional development. Some may ask for proof of recent practice hours or current insurance. Missing a renewal deadline can lead to extra fees or loss of the right to practise.