1. Skip to Menu
  2. Skip to Content
  3. Skip to Footer>

Regulatory amendments make way for 2 additional CMLTO Registration Pathways

Following amendments made to the Regulated Health Professions Act, 1991 and the Medical Laboratory Technology Act, 1991, two potential pathways for CMLTO registration were created: the As of Right registration pathway, and the Emergency registration pathway.

The As of Right registration pathway was created to expedite the registration process for interjurisdictional practitioners (i.e., individuals practising as MLTs in another regulated province). These applicants must be registered as Practising, be in good standing with their current regulatory college, and may only work in limited practice settings. Interjurisdictional practitioners are exempt from the restricted title provision which requires MLTs to first be registered with the CMLTO prior to holding themselves out as or working as an MLT.

The following conditions must be met in order to apply for the As of Right registration pathway:

  1. They will be employed by an Ontario public hospital, the University of Ottawa Heart Institute, or a long-term care home
  2. They have completed the CMLTO online application process, including payment of the Application Assessment Fee
  3. They have obtained Professional Liability Insurance (PLI), which covers the services that they will provide in Ontario prior to practising. For more information on the CMLTO's Professional Liability Insurance requirements, click here.
  4. Lastly, As of Right applicants are required to complete the CMLTO registration process by providing supporting documents within six months. These documents must be submitted in accordance with the CMLTO Submission Guideline, which you can access here / ici
Employers are required to notify the College when they hire individuals identifying themselves as "As of Right" applicants. Employers are responsible for verifying that their employee meets the registration requirements related to conduct with the regulatory body they are currently registered with.

Interjurisdictional practitioners and employers are strongly encouraged to refer to the Ontario Ministry of Health Guidance Document, which can be found here.

The Emergency registration pathway was created as a result of Bill 106 (the Pandemic and Emergency Preparedness Act, 2022), which can be found here. This bill came into effect in 2022, and made amendments to the Health Professions Procedural Code (find here) under the Regulated Health Professions Act, 1991 (find here).

The Emergency registration pathway was enacted in August of 2023 to allow for the registration of applicants in situations where the normal CMLTO registration processes are significantly interrupted.

Information about which authorities can request or open the emergency class of registration for issuance and renewal are outlined in legislation:

"The Minister must have requested the College to initiate registrations under this class based on the Minister's opinion that emergency circumstances call for it, or the Council must have determined, after taking into account all of the relevant circumstances that impact the ability of applicants to meet the ordinary registration requirements, that there are emergency circumstances, and that it is in the public
interest that the College issue emergency certificates of registration."

The College will notify the public, applicants, and the Ministry of Health when an emergency occurs and the Emergency Class of Registration is available for the issuance and renewal through updates to its website.

A copy of the CMLTO Registration Committee Policy on the Emergency Class of Registration can be found here, with a copy in French available here.

CMLTO staff hosted an informative and engaging webinar on these registration pathways and other registration initiatives. A recording of this webinar is available here. You are also able to access a transcript of the webinar in English. A French copy of the transcript is available here

If you have any questions about these new registration pathways, please contact our Registration Department at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

Read More CMLTO News