Application for Special Licence under Cross Border Services MOU

The Memorandum of Understanding (MOU) agreement makes it easier for licenced physiotherapists who are registered in one Canadian jurisdiction to obtain certificate of registration to practice in additional jurisdictions in order to provide continuing care or physiotherapy services that are not otherwise available, whether the services are delivered in person or via tele-rehabilitation.

Applicants for a special licence under MOU must fill in and submit the form below, including uploading applicable document(s) - Proof of Professional Liability Insurance, and a Letter of Good Standing from their present college.

Upon receipt of the form information, the documents and payment, we will review your application and you will be contacted shortly.

After you submit the form, you will be directed to the payment page - special license fee is $25.

If necessary, please contact us for more information.

Special License under Cross Border Services MOU — Application Form

Personal Information
Present Place of Employment
Intended Work Site and Dates
  1. Prince Edward Island
Physiotherapy Licence
Supporting Documents

Are you a real person? (no robots please)
  1. Please answer the following question:
    Which city is the capital of Prince Edward Island, Canada?