CONSULTATIONS

The College consults registrants, health system partners and members of the public on important regulatory initiatives and improvements. The feedback received during open consultations is reviewed and considered with the College’s mandate to serve the public interest in mind. Thank you for participating in our consultations to help improve our policies, by-laws, standards and guidelines, and guide registrants to provide high-quality foot care to Ontarians.

The College is currently seeking feedback on:

  • Proposed Revisions to the Patient Relations Standard
  • Proposed Amendments to By-Law 2 (Fees)
Proposed Revisions to the Patient Relations Standard

Deadline for Feedback: December 15, 2025  

The College welcomes your feedback on the revised Patient Relations Practice Standard.

As part of the Standards and Guidelines Committee’s comprehensive review of all the College’s standards, guidelines, policies and advisories, which aims to eliminate redundancies, modernize documents, and ensure they reflect best practice, the Patient Relations Standard was updated with revised guidance for registrants. The language was modernized to replace “member” with “registrant” and pronouns (he/her, him/her) with they/them. The passive voice was replaced with an active voice and overly legalized language was replaced with plain language. In addition to content updates, the look of the document was refreshed and standardized.   

It is in the public interest that the College has a Patient Relations standard that sets out the College’s expectation that registrants engage in safe and ethical practice, and that outlines what the public can expect from registrants. The proposed amendments to the Patient Relations standard reflect enhanced standards on communication, confidentiality, professional conduct and accountability, boundaries and abuse.

Let us know what you think about these updates by Monday, December 15, 2025. Send your feedback by email to consultations@cocoo.on.ca 

Please note that all comments will be anonymized and provided to Council at the January 2026 Council meeting.

Proposed Amendments to By-Law 2: Fees

Deadline for Feedback: December 15, 2025  

The College welcomes your feedback on the amendments to By-Law 2 (Fees), which reflect updates to the Registration Exam costs.

As part of our ongoing responsibility to safeguard the public, the College invests substantial time and resources into the development, delivery, and continual improvement of our Registration Examinations. The development and maintenance of Registration Examinations require significant investment and specialized expertise. This work involves meticulous item writing, development and validation by subject-matter experts, thorough psychometric analysis, ongoing review and enhancements, and implementation of evidence-based assessment methods to accurately measure candidate competence to practise chiropody in Ontario. These ongoing activities are essential to ensure exams remain current, fair, and reflective of professional standards. 

In recent years, the cost of delivering high-quality Registration Examinations has risen due to inflation and heightened quality assurance expectations. Accordingly, Council is being asked to consider an increase in the Fees effective 2026, to ensure the costs associated with these critical activities are adequately covered and not diverted from general operations. 

It is in the public interest that the College remains financially stable and ensures adequate resources to fulfill its statutory responsibility of public protection. The College’s mandate is to protect the public, and the College is required to meet all expectations of the Ministry of Health and its obligations under the Regulated Health Professions Act, Procedural Code, Chiropody Act, and related Regulations. By engaging in rigorous, ongoing Registration Examination setting, the College ensures that any candidate who passes the Registration Examinations is competent to practise to the scope of chiropody in the province.  

Let us know what you think about these proposed amendments by Monday, December 15, 2025. Share your comments by emailing us at consultations@cocoo.on.ca 

Please note that all comments will be anonymized and provided to Council at the January 2026 Council meeting.

Consultation Process
and Guidelines

The feedback provided during the consultation period is anonymized and provided to Council for consideration at the next meeting.

All feedback is carefully considered, even that which is not reflected in the final document. When finalizing the document content, the College will consider the extent to which your suggestions or comments represent the expectations of the profession and are consistent with the College’s mandate as a medical regulatory body. Please note that:

  • Names of individuals are not published or shared with their feedback and reasonable efforts are made to remove personal identifiers. In order to maintain confidentiality and protect the privacy of registrants, patients and other parties, you are advised to not share any personal or health information.
  • The College does not review feedback for accuracy or review any references or links in any feedback either for accuracy or with respect to content.
  • The College reserves the right to refuse to include feedback, in whole or in part, that, in its sole discretion, it deems to be unrelated to the document or issue under consultation; contains complaints and/or compliments about identifiable registrants; contains personal identifiers and/or other information that may identify a third party; is abusive, obscene, harassing/threatening or otherwise inappropriate; and may include defamatory or libelous comments.
  • The College is not responsible for any content of any feedback nor for the loss of any feedback.

Closed Consultations

Proposed changes to the Code of Ethics

Deadline for Feedback: August 4, 2025  

The College requested feedback on the revised Code of Ethics

Since 2023, the Standards and Guidelines Committee has been leading a comprehensive review of all the College’s standards, guidelines, policies and advisories, to eliminate redundancies, make updates, and ensure the documents reflect best practice. As such, documents are being reviewed based on their age and/or where specific concerns are raised about a particular document, language is being modernized to replace “member” with “registrant” and pronouns (he/her, him/her) with they/them, and the passive voice is being replaced with the active voice, and overly legalized language is being replaced with plain language. In addition to content updates, the overall look of the documents has been refreshed.  

The amendments to the Code of Ethics reflect the College’s commitment to Equity, Diversity and Inclusion (EDI) principles and the expectation that registrants practice in a safe and ethical manner. The changes also clarify that the Code is a practice standard that will be considered in all regulatory processes at the College. 

It is in the interest of the public that the College continually reviews its standards, guidelines and policies to ensure they reflect the current expectations for registrants, and that those expectations are clearly communicated. It is important that registrants understand the standard for acceptable practice, and the public understands the standard registrants are required to meet. It is also in the public interest that the Code of Ethics sets out the College’s expectation that registrants engage in safe and ethical practice, and that outlines what the public can expect from registrants. 

Feedback on proposed amendments the Code of Ethics sent by Monday, August 4, 2025. Comments presented at the Fall 2025 Council meeting.

Amendments to By-Law 2 (Fees): Charging for Continuing Education (CE) Courses and Removing Cheques as a Payment Method

Deadline for feedback: February 6, 2025.

The College welcomes your feedback on the proposed amendments to By-law 2 (Fees), which include providing new CE courses to registrants for a charge and removing cheques as a payment method for College processes. 

The proposed changes include introducing fees for the College’s in-house continuing education modules. These modules, which will cover topics like clinical supervision, record-keeping and other relevant themes, will offer credits toward the College’s annual Continuing Education program.

The intent of charging fees is to recoup the College’s cost to develop the modules and make them available to registrants, which is consistent with the practice of other regulatory bodies. The proposed amendments to By-law 2 allow the Executive Committee to set fees for the modules. This will eliminate the need to revise By-law 2 if the fee for a module changes, and it gives the Committee the flexibility to set different fees for each module, based on the substance of the material and the work that went into producing it.

The College is also proposing removing cheques as a payment method for fees and processes, replacing them with credit card or e-transfer options to streamline processing and minimize delays. The College, in keeping with other regulators, is moving towards paperless processes, including annual renewal, with alternative payment options readily available. In addition, managing cheques is more resource intensive with the possibility of returned cheques and charges due to insufficient funds. The College continues to explore greater efficiencies to improve its operations, including this proposed initiative.

Proposed changes to the College’s Registration Regulation

Deadline for Feedback: December 2, 2024

In addition to the changes Council has already approved, the Revised Proposed Registration Regulation includes further enhancements.

  • Section 3(1): These proposed amendments are directed at clarifying the language; expanding what applicants will be required to disclose at the time of their application.
  • Section 3(4): These proposed amendments are directed to clarifying the language to mirror other regulators.
  • Section 4(1): These proposed amendments are intended to enhance the reporting requirements which are imposed as terms, conditions and limitations on a registrant’s certificate.
  • Section 7(2): As part of the College’s continuing effort and commitment to promote the Full Scope Podiatry Model in Ontario for the protection of the public, this proposed amendment is intended to create a route for podiatrists from other provinces to obtain a license in the podiatry class in Ontario through labour mobility.
Proposed changes to the College’s By-law 1 (General) and 2 (Fees): Adding Outstanding Fees to the Annual Registration Renewal Fee

Deadline for Feedback: August 3, 2024 

Registrants are sometimes required to pay fees to the College outside of the annual renewal fees. Not paying outstanding costs/fees on time places an administrative and financial burden on the College.

To ensure that registrants bring their account up to date at renewal time, By-law 1: General and By-law 2: Fees have been amended to require that any outstanding fee(s) be added to the annual renewal fee, and that Registrants are unable to renew without paying the full balance. At the same time, the College is modernizing its by-laws by changing the term “member” to “registrant” to reflect the College’s role as a regulator, not an association.

It is in the public interest that the College maintains financial stability by ensuring that all costs owed to the College are recovered on an annual basis. It is also in the public interest that the College enforce the payment of costs/monies it is owed to demonstrate to registrants and stakeholders that it takes the enforcement of its committees’ orders seriously, and that registrants who breach a committee will lose the privilege of practising the profession.

Council approved, in principle, the following revisions to By-law 1 (General) and By-law 2 (Fees)

Proposed Changes to By-Law 1: Adding Registrant number to Public Register

Deadline for Feedback: March 30, 2024

Section 23(2) of the Health Professions Procedural Code sets out certain information about registrants the College is required to post on its public register. Additional information is set out in By-law 1, section 42.05. In October 2019, the Council passed a motion to remove registration numbers from the public register, and it was removed from By-law 1. The College continues to receive a significant volume of public inquiries to verify registrant information. As such, the Council is considering revising By-law 1 to require that registration numbers be posted on the Public Register. 

It is in the public interest that the College be transparent and that the public have access to registrants’ registration numbers. It is also in the public interest that the College align its practices with other RHPA Colleges for consistency.  

Council approved, in principle, the following revisions to: 

We invite you to review the proposed changes and provide your feedback by March 30, 2024 to info@cocoo.on.ca.

Proposed Changes to the College's By-Law No. 2 (Fees) - Assessment Fee for Non-Approved Programs

Deadline for Feedback: November 24, 2023

Individuals applying to the College from a non-approved program are required to pay a fee to have their program assessed. The College then retains an expert to conduct an equivalency assessment by comparing the non-approved program to the Michener program. The expert prepares a written report and presents the report to Council. Over time, the expert fee to conduct program equivalency evaluations has increased, but the applicant fee has not. As a result, the College has been offsetting the cost of the program equivalency evaluations.

It is in the public interest that the College remains financially stable and has the proper funding and resources to fulfill its mandate of protection of the public. One of the ways the College maintains financial stability is by increasing fees to align with inflation, and by ensuring that the fees being charged to external parties are sufficient to cover the actual cost to the College.

Council has approved, in principle, the following revisions to By-law No. 2 (Fees):

  • increase the fee for equivalency assessment of non-approved programs from $500 to $750; and
  • correct a typographical error to align the wording with the previous subsection.

To review the changes, please click on the link below:

Proposed amendments to COCOO By-law No. 2 – Application Fee for Non-Approved Programs

Please e-mail your feedback on the proposed changes by November 24, 2023 to info@cocoo.on.ca.

Proposed Changes to the College's By-Law No. 2 (Fees) - Penalty Fee for Non-Compliance with Ce Log Submission

Deadline for Feedback: November 24, 2023

The Regulated Health Professions Act, 1991, mandates that each Chiropodist/Podiatrist registered (the “Registrant”) with the College of Chiropodists of Ontario (the “College”) participate in a Quality Assurance Program that includes continuing education and self-assessment components.

On June 24, 2022, Council approved updates to the College’s Continuing Education & Self-Assessment Policy, which outlined moving the Continuing Education requirements to an annual cycle, beginning January 1, 2024. The updated policy included a fee of $250.00 for non-compliance, to be levied when Registrants who have been selected to submit their CE Log fail to do so by the February 14th deadline. In order to fully implement the fee, By-Law No. 2 (Fees) requires an update to include this information.

Council has approved, in principle, the following inclusions to By-Law No. 2 (Fees):

  • Implement a penalty fee of $250.00 for failure to submit a Continuing Education Log and supporting documentation on or before February 14th.

It is in the public interest that Registrants of the College engage in Continuing Education to maintain currency in the profession. Registrants are obligated to comply with the College’s Continuing Education requirements which are intended to promote the safety of the public. A penalty fee acts as a deterrent, thereby encouraging timely completion of Continuing Education requirements. In addition, the public interest is served when the College remains financially stable and maintains proper funding and resources to fulfill its mandate of protection of the public. One of the ways the College maintains financial stability is by ensuring that the costs incurred as a result of Registrant non-compliance with College requirements are recovered.

To review the changes, please click on the link below:

Proposed amendments to COCOO By-law No. 2 – Penalty Fee for Non-Compliance with CE Log Submission

Please e-mail your feedback on the proposed changes by November 24, 2023 to info@cocoo.on.ca.

Changes to Registration Regulation

Deadline for Feedback: April 11, 2023

The Provincial Government enacted the Pandemic and Emergency Preparedness Act, 2022 to improve health resource planning in emergency situations. Under this Act, the Ministry is requiring all of Ontario’s health regulatory Colleges to develop a new emergency class certificate of registration, with the aim of reducing barriers for new applicants in emergency situations (e.g., in response to a new pandemic). The Colleges have been asked to move quickly and have a draft regulation amendment ready as soon as possible.

The College of Chiropodists of Ontario has drafted regulation amendments, which would create a new emergency class certificate of registration. There are specific requirements that individuals must fulfill to be eligible for an emergency class of licensure. Importantly for patients, chiropodists or podiatrists licensed under this class will be required to practice under the supervision of a COCOO member who holds a general certificate of registration and who has been approved by the Registrar to supervise a member in the emergency class.

The proposed regulation amendment is not anticipated to result in increased administrative costs to members and/or businesses as it creates additional pathways for new health professionals to begin practicing their profession in Ontario.

Summary of Proposed Registration Regulation:

The proposed changes to the Registration Regulation to create an emergency class of registration is required pursuant to the Registration Requirements Regulation made under the RHPA. The proposed changes include:

  • An emergency class of registration for both chiropodists and podiatrists when certain non-exemptible criteria are met, including: the Government or Council determines that emergency certificates of registration be issued; recognized, completed education in chiropody or podiatry that is acceptable to the College to ensure competency to practice; and successful completion of the College’s jurisprudence examination.
  • The ability of the College to lift the existing restriction on registering podiatrists in an emergency.
  • The terms, conditions and limitations attached to an emergency certificate of registration, including: supervision by a member of the general class who is approved by the Registrar; and engaging in practice only while holding out as a member of the emergency class who is practicing under supervision.
  • The automatic revocation of the certificate within 60 days after receipt of notice of Council’s determination that the emergency circumstances have ended.
  • The expiry of the certificate after one year, which can be renewed for one year, with no limit on renewals, as long as Council has not determined the emergency circumstances have ended.
  • The revocation of the certificate prior to its expiry or the end of emergency circumstances if the Registrar or Registration Committee determines it is in the public interest to do so.
  • The opportunity for any current or former emergency class registrant to write the College’s competency examination without charge if the registrant practiced for at least 180 hours while in the emergency class.
  • The waiver of the program and jurisprudence examination requirements for an applicant to the general class who held an emergency certificate of registration within one year before submitting the application.
  • A maximum of 3 attempts to challenge each of the College’s competency and jurisprudence examinations.

Please email your feedback on the proposed changes by April 11, 2023 to info@cocoo.on.ca

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