The insurer's assessment says I can do things I cannot.

The benefits dispute goes to the Licence Appeal Tribunal, where you can put your own evidence forward. A College complaint is appropriate where methodology or conduct fell below standards.

Do I have to allow an in-home assessment?

Your policy may require cooperation, but you are entitled to consent-based, respectful conduct in your home. Raise concerns about how it was conducted.

College of Occupational Therapists of Ontario — Complaints & Assessments

College of Occupational Therapists of Ontario

This College regulates occupational therapists in Ontario. What distinguishes complaints here is the volume of **insurer-retained assessment work** — functional abilities evaluations, in-home assessments and attendant care needs assessments used to decide accident benefits and disability claims. Those reports frequently determine entitlement, which makes their methodology contentious.

What it does

Registers occupational therapists and maintains a public register
Investigates conduct, competence and capacity complaints
Sets standards on assessment, consent and records
Refers matters to its Discipline Committee

Matters it hears

Functional abilities and in-home assessment methodology
Attendant care needs assessments in accident benefits claims
Treatment plan justification and billing to insurers
Consent and confidentiality in home visits

Appeals & review

Appeals generally go to Health Professions Appeal and Review Board (HPARB).

Disputes with an insurer about benefits go to the Licence Appeal Tribunal, not this College. The College addresses the therapist's professional conduct.

Appeal and review deadlines are short and strictly applied. Treat the decision date as the start of a clock.

Frequently Asked Questions

The insurer's assessment says I can do things I cannot.: The benefits dispute goes to the Licence Appeal Tribunal, where you can put your own evidence forward. A College complaint is appropriate where methodology or conduct fell below standards.
Do I have to allow an in-home assessment?: Your policy may require cooperation, but you are entitled to consent-based, respectful conduct in your home. Raise concerns about how it was conducted.

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General information about jurisdiction and process, not legal advice. LegalCounselNearMe is not a law firm and is not affiliated with College of Occupational Therapists of Ontario. Procedures, forms and fees change — the official site is authoritative.