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Registration Information
First Name
Last Name
College of Naturopaths of Ontario Registration Number
Provider Email
Practice or Clinic Name
Clinic/Professional Website Address
Practice Address
***Please Note: Only practices located in Ontario will be accepted to the ONIN program.
Contact Numbers
I understand the Ontario Naturopathic Integrative Network ONIN) is a referral service linking my patients with integrative nurse practitioners and medical doctors. These providers are independent and will make recommendations for assessment and therapy based on their own clinical judgement and on the clinical information I provide. I understand that I am required to provide sufficient detail in my referrals for ONIN providers to make timely effective care decisions. I understand I am expected to obtain prior, written informed consent to share information with ONIN and its providers from any patient whom I refer. I agree to provide ongoing communication on patient progress as required by ONIN guidelines to ONIN and its providers.I hereby confirm that I am in good standing with the College of Naturopaths of Ontario. I have no current complaint matters. I immediately undertake to notify ONIN if I am the subject of any complaint to CONO, or the subject of any investigation at CONO. Finally, I agree to disclose to ONIN within 48 hours of receipt of any complaint from a provincial or federal health regulatory body related to any patient that received ONIN referral care within the past 12 months.
*Applies to Enhanced and Premium plans only.
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