Practice in Association

Under Review: No
Issued by Council: January 1, 2010


  1. In this standard, “regulated health professional” means a non-physician member of a regulated health profession under the Health Professions Act.
  2. In this standard “practice in association” means a professional relationship between a physician and another person who is not an employee of the physician in which any of the following applies:
    1. joint advertising;
    2. shared office telephone number;
    3. combined client billing for services provided by more than one person;
    4. shared office reception area;
    5. shared office or clinic expenses;
    6. shared administrative functions or expenses;
    7. shared ownership or use of premises, equipment, furnishings or other property; or
    8. shared employees.
  3. Practice in association does not include:
    1. the release of copies of medical records to any person at the request and with the consent of the patient; or
    2. consultation between a physician and a regulated health professional.
  4. A physician must not practise in association with any person who is not a physician or regulated health professional unless that person is an employee of a government, government agency or university that is taking responsibility for the actions of that person in that practice.
  5. A physician must be satisfied that an associated regulated health professional’s qualifications or professional designation, professional standing, and scope of practice of are:
    1. acceptable to that regulated health professional’s own college, and
    2. clear for any patient or member of thepublic coming into the practice.
  6. Where a joint or shared record is maintained for professional services to a patient, entries made by the physician must be identifiable.
  7. Any referral by a physician to an associated regulated health professional and any resulting opinion or provision of healthcare must be:
    1. in written form; and
    2. maintained on the patient’s medical record by the physician.
  8. A referral by a physician to an associated regulated health professional must only occur when there is a reasonable expectation of a health benefit to the patient arising from the referral.
  9. Although it is permissible to enter into a contractual arrangement for cost-sharing of office or clinic expenses, a physician must not enter into a legal partnership arrangement with a non-physician.


The CPSA Standards of Practice are the minimum standards of professional behaviour and ethical conduct expected of all physicians registered in Alberta. Standards of practice are enforceable under the Health Professions Act and will be referenced in the management of complaints and in discipline hearings. About the CPSA Standards of Practice

Contact

For archived standards, policies and guidelines:
Chantelle.Brigden@cpsa.ab.ca