What a college can and cannot do
**Can:** investigate conduct and competence, require remedial education, impose terms or restrictions on practice, refer to a Discipline Committee, and suspend or revoke a certificate of registration. Complaints are free and you do not need a lawyer.
**Cannot:** award you compensation, order a refund, force an apology, or overturn a clinical decision. Those outcomes come from a civil claim, a fee dispute, or in some cases the institution itself.
The process, step by step
You file a written complaint. The college notifies the practitioner, who responds, and an investigator gathers records. The matter then goes to the **Inquiries, Complaints and Reports Committee (ICRC)**, which decides the outcome — taking no action, issuing advice or a caution, requiring a specified continuing education programme, or referring to discipline.
Expect months rather than weeks. Serious allegations, particularly sexual abuse, follow expedited and much more consequential paths — Ontario's health professions legislation mandates revocation for defined sexual abuse findings, and funding for therapy may be available to the complainant.
If the college decides not to act — HPARB
Where the ICRC takes no action or you consider the investigation inadequate, you can request a review by the **Health Professions Appeal and Review Board**. HPARB examines whether the investigation was adequate and the decision reasonable, and can send the matter back to the college.
HPARB review is free and has a filing deadline stated in the ICRC's decision. It does not award compensation either, and it does not substitute its own finding of misconduct.
Getting compensation — the parallel track
A civil negligence claim requires expert evidence that care fell below the standard of a reasonably competent practitioner **and** that this caused your injury. Causation is usually the hardest element, and these claims are expensive to run.
Start by requesting your complete records — you have a right of access under Ontario's health privacy legislation, and refusals can be taken to the Information and Privacy Commissioner. Then get advice on the limitation period, which does **not** pause while a college complaint proceeds.
Which body for which problem
**An individual practitioner's conduct** → their college. **A hospital, clinic or system failure** → the facility's patient relations office, then Ontario's Patient Ombudsman. **Access to or privacy of your health records** → the Information and Privacy Commissioner of Ontario. **OHIP funding refusals** → HSARB. **Compensation for harm** → a civil claim.
Ontario has colleges for roughly thirty regulated health professions, including physicians, nurses, dentists, pharmacists, physiotherapists, massage therapists, psychologists, chiropractors, optometrists, dietitians, midwives, occupational therapists, denturists, dental hygienists, medical laboratory and radiation technologists, respiratory therapists, audiologists and speech-language pathologists, kinesiologists, and traditional Chinese medicine practitioners. Search the profession's name plus “College of” and “Ontario” to reach the right regulator.
Frequently asked questions
- Will a complaint get me compensation?
- No. Colleges address conduct and competence. Compensation requires a civil negligence claim, and its limitation period runs independently of your complaint — do not wait for the college to finish.
- How long does a complaint take?
- Typically months. The practitioner must be given a chance to respond and records must be gathered before the ICRC decides.
- What if the college dismisses my complaint?
- Request a HPARB review within the deadline in the decision. HPARB assesses whether the investigation was adequate and the decision reasonable, and can send it back.
- Do I need a lawyer to complain?
- No, and complaints are free. Legal advice matters most if you also intend to claim compensation, because of the separate deadline.
- How do I get my medical records?
- Request them in writing from the custodian. You generally have a right of access under Ontario health privacy law, and refusals can go to the Information and Privacy Commissioner of Ontario.
- Where do I complain about a hospital rather than a person?
- Start with the hospital's patient relations office, then Ontario's Patient Ombudsman. Colleges regulate individuals, not facilities — with pharmacies a notable exception.
This guide is general information, not legal advice. Laws, costs, and procedures vary by state, province, and your specific situation — speak with a qualified healthcare & life sciences lawyer about your circumstances before acting.