Submit a Report

Employers have specific obligations for reporting events that result in a Respiratory Therapist being terminated, suspended or disciplined in any way. For more information, please click HERE.

It is important that employers work in collaboration with the CRTO to ensure that Respiratory Therapists in Ontario are meeting the standards of practice of the profession. Employers must submit a report to the CRTO when their reporting obligations are met. There are many ways we can help. Most times, simply assisting the Respiratory Therapist to re-establish and retain the standards of practice of the profession is all that is needed. Other times, there is more involved. Whatever the process, we will make every effort to ensure that the matter is handled with sensitivity.

If you would like to speak with someone before filling out the form to submit a report, please contact Peter Laframboise, Manager, Professional Conduct at 1-800-261-0528, or within the Greater Toronto Area 416-591-7800, and dial extension 37.

    PERSON SUBMITTING THE REPORT:

    * required information

    • Last Name

    • First Name

    • Title or Position *

    • Facility Name (including site) *

    • Street Address *

    • City *

    • Province *

    • Postal Code *

    • Phone *

    • Mobile or Pager

    • Email *

    • If you are not the RT’s direct supervisor, please describe your relationship to the RT.

    RESPIRATORY THERAPIST WHO IS THE SUBJECT OF THE REPORT:

    • Last Name *

    • First Name *

    • CRTO Registration # (if possible)

    DETAILS OF YOUR REPORT:

    • Please provide an outline of the incident/conduct. Include specific details such as date(s), time(s), location(s). *

    • Does the incident/conduct relate to a particular patient/client? If so, you should make your best effort to inform the patient/client prior to filing your report. In cases where a patient/client may have been sexually abused, patient/client consent to disclose his/her name is mandatory; see consent form. If patient/client consent cannot be readily obtained, or is refused, please indicate this. *

    • Patient/Client informed or consent received? YesNo

    • Gender: MaleFemale

    • Date of Birth (DD/MM/YYYY)

    • Date of Death (if applicable) (DD/MM/YYYY)

    • Last Name *

    • First Name *

    • Home Address

    • City

    • Province

    • Postal Code

    • Country

    • Home Phone

    • Mobile Phone

    • Email

    • Are there other people who witnessed the incident/conduct? (please provide names and contact information for each witness)

    • Last Name

    • First Name

    • CRTO Registration #

    • Other Regulated Health Profession

    • Phone

    • Mobile or Pager

    • Email

    • What actions have you or the facility taken to date to address the issue(s) with the Respiratory Therapist? *

    • What was the Respiratory Therapist’s response to this action? *

     

    Thank you for your assistance.  We will be in contact with you shortly.