Autonomous practice members of the College whose certificate includes a term, condition or limitation may apply for its removal or modification.
Applicants are advised to read the Guidelines for Removal or Modification of a Term, Condition, or Limitation (below) for information about the required process prior to completing the application form.
This application can be filled out on your computer by typing in the spaces provided, printed when complete and mailed to the College. Please be certain to include your application fee of $100 CND.
Adobe Acrobat Reader (or the full version) is required to open this form. If you do not have Adobe Acrobat Reader, click here to download it for free.
THIS FORM CANNOT BE SAVED therefore, it must be printed when completed.
You may complete the form online and print it or print the form first and complete it by hand.
Mail the completed form and the application fee of $100 CND to:
The College of Psychologists of Ontario
110 Eglinton Ave. W, Suite 500
Toronto, ON M4R 1A3
NOTE: Applications must be submitted by mail as we cannot accept fax or e-mail applications at this time.