What’s required to practise midwifery in Ontario?
Midwives in Ontario are regulated by the College of Midwives of Ontario and must be registered with the College to practise midwifery and use the title “midwife.” The College ensures that families working with midwives in Ontario can expect safe and effective care during pregnancy, birth, and through the first six to eight weeks postpartum.
All midwives in Ontario must be members of the College, with the exception of Indigenous people who provide traditional midwifery services. They may use the title “Aboriginal midwife” or a variation, abbreviation, or equivalent in another language and may hold themselves out as a person who is qualified to practise in Ontario as an Aboriginal midwife.
The Registration Regulation requires that all applicants seeking a general certificate of registration with the College must:
- Have a degree from a Midwifery Education Program in Ontario,
- Have completed the College’s Orientation and Assessment Pilot Program or
- Be applying as an inter-provincial applicant.
The College will process complete applications within 10 business days. More detailed information on timelines can be found in the Registration Handbook.
When applying, prospective registrants are expected to have the following clinical experience:
- Active practice for at least two years out of the four years immediately before the date of the application (this can include time spent in an Ontario Midwifery Education Program)
- Attendance of at least 60 births with the following minimums:
- 40 attended as primary midwife,
- 30 attended as part of the care provided to a client in accordance with the principles of continuity of care,
- 10 attended in hospital, with at least 5 as primary midwife, and
- 10 attended in a residence, remote clinic, or remote birth centre, with at least 5 attended as primary midwife.
If applicants are not able to meet the current clinical experience requirements outlined above, they may be able to register in the College’s supervised practice class.
Applicants must have completed the Canadian Midwifery Registration Exam (CMRE).
The Canadian Midwifery Registration Exam (CMRE) is a national written examination that assesses applicants for midwifery registration to ensure they meet entry-level competency standards set out in the Canadian Competencies for Midwives. Its goal is to ensure that midwifery practitioners provide competent, safe, and a consistent standard of care across Canada.
Comprehensive information about the examination (including registration timelines and details, study tips, reference texts and practice exams) is available on the Canadian Midwifery Regulators Council (CMRC) website.
Applicants who meet all the requirements for registration with the College of Midwives of Ontario and who have written the national midwifery qualifying examination, but have not received the results of the examination, are eligible for a transitional certificate of registration.
The transitional certificate allows registrants who are awaiting the results of the examination to practise midwifery while under the supervision of a registrant who holds a general certificate of registration. Transitional certificates are valid for up to 90 days and will be revoked when the registrant is notified that they have passed the examination and are issued a general or supervised certificate of registration, or when they are notified that they have failed the exam.
Applicants are required to submit certificates demonstrating successful completion of training in NRP (within the previous 12 months), ES and CPR (within the previous 24 months) with their application forms. Learn more about the College-approved courses on our Continuing Competencies page.
Demonstrate your proficiency in either French or English with one of the following:
- Graduation from a recognized program of midwifery education in English or French in any jurisdiction in Canada;
- Registration as a midwife in a Canadian jurisdiction;
- Successful results on an English or French language proficiency test acceptable to the College.
All applicants to the College of Midwives of Ontario must be familiar with the laws, regulations, and standards that apply to midwives in Ontario and must demonstrate that by completing the College’s Jurisprudence Course.
The College’s Jurisprudence Course is offered online and consists of a handbook to be reviewed, and an online module with exam questions.
The online module and exam are open-book and divided into 11 lessons which can be completed in any order. Each lesson covers a different topic, with sample quiz questions throughout and exam questions to complete at the end of each lesson.
While there are no limits to the number of attempts an applicant can take to successfully complete the exam questions, you are encouraged to wait and answer the exam questions when confident you have spent sufficient time on the module and have had an opportunity to review the documents referenced in each lesson.
On average, it takes about four hours to complete, but you can log in and out to finish at your own pace. All submitted answers are saved in the system.
Accessing the Jurisprudence Course
To access the Jurisprudence e-Learning module and exam you will require a user ID and password.
Applicants for registration must complete and submit the Jurisprudence Course Application Form to the College—including payment—to receive login information to access the online module and examination.
Applicants can submit the form along with payment through one of two methods:
- Cheque and Mail
The cheque and form can be mailed to the College’s offices at: 21 St. Clair Avenue East, Suite 303, Toronto, Ontario, M4T 1L9. Cheques should be payable to “College of Midwives of Ontario” and not combined with any other payment.
- Credit Card
On the form you can select that you prefer to pay by credit card. If you select this option at the time of registration you will pay the fee by credit card. The form should be submitted through the College’s secure deposit box.
Jurisprudence Quick Tips
- Save your user ID and password.
- Print your certificate upon successful completion of the module.
- Review the College’s website and Jurisprudence Course Handbook
- Have the College’s Jurisprudence Handbook available for easy reference during the module.
Course participants must correctly answer all questions (100%) to successfully complete the Jurisprudence Course.
Once you have finished all 11 lessons, save and print a copy of your certificate of completion for your records and upload a copy to the Registrant Portal or submit it with your application for registration.
The Registration Regulation provides the grounds for establishing “good character” and suitability to practise the profession. All applicants must submit the results of a Vulnerable Sector Check as part of their application to the College. In addition, applicants must answer disclosure questions and submit letters of standing from bodies where they are or have been licensed or registered to practice any profession. The applicant is responsible for obtaining the correct Vulnerable Sector Check and paying all related fees. You can review the policy here for more information.
Vulnerable Sector Check
Prior to registration with the College, an applicant must be deemed suitable to practise the profession. This includes providing evidence that they have not been found guilty of any criminal offence, or other offence. Additionally, there must be nothing in an applicant’s previous conduct that would give reasonable grounds for the belief that the applicant will not practise midwifery with decency, honesty, integrity and in accordance with the law.
To prevent delays and to ensure that your Vulnerable Sector Check (VS Check) meets the Criminal Record Screening Policy College requirements, please ensure that your VS Check request form is completed correctly and note the following:
- The applicant is responsible for obtaining the correct VS Check and paying all related fees.
- The College only accepts original VS Checks issued within 6 months of the date a complete registration application is submitted to the College.
- The VS Check must be completed on all the names (including middle and maiden names) the applicant is currently using and has used in the past
- The applicant’s full legal name, previous names (if applicable) and date of birth on the VS Check must match the information provided to the College during the application process or it won’t be accepted.
- Original electronic copies of the VS Check from the police service, or scanned copies where the seal is visible and does not say “void,” are accepted. If an electronic copy is being submitted, it is recommended that the original hard copy of the VS Check be kept should the College require the original VS Check to be mailed to the College at a later date.
Please note that a finding on any VS Check does not disqualify your application for registration and the application will be processed in accordance with the Criminal Record Screening Policy and Good Character Guide.
Obtaining a Vulnerable Sector Check
For applicants outside of Toronto to apply for your VS Check, visit the website of your local police service for details regarding their specific process and payment information. Processing times may vary so we recommend applying for the VS Check well in advance of the date a complete registration application is submitted to the College.
Applicants Requiring a Toronto Police Services Vulnerable Check
For a Toronto VS Check, applicants must contact the College at firstname.lastname@example.org to obtain a Toronto Police Services consent form.
It is your responsibility to send your form and payment to Toronto Police Service. The $65 payment can be made by certified cheque, or money order, payable to Toronto Police Service. Please visit the Toronto Police Service website for instructions and more information on how to submit your completed consent from.
Demonstrate your entitlement to work in Canada by providing proof of one of the following: Canadian citizenship, permanent residency, or authorization under the Immigration and Refugee Protection Act (Canada) to engage in employment in Canada.
All regulated health professionals in Ontario are required to have professional liability insurance to practise a health profession. It is a non-exemptible registration requirement that an applicant provides the College with evidence of current personal protection against professional liability.
Applicants often obtain liability insurance through HIROC by way of membership with the Association of Ontario Midwives. The College of Midwives of Ontario requires the applicant show appropriate evidence of insurance that will be effective on the date the applicant will be registered.
Registration Panels for Applicants
The Registration Committee considers referrals from the Registrar of applications for registration that do not meet the requirements set out in the Registration Regulation. The Registrar will refer an application for registration to the Registration Committee if the Registrar,
- has doubts, on reasonable grounds, about whether the applicant fulfils the registration requirements;
- is of the opinion that terms, conditions or limitations should be imposed on a certificate of registration of the applicant and the applicant is an individual who holds an out-of-province certificate;
- is of the opinion that terms, conditions or limitations should be imposed on a certificate of registration of the applicant and the applicant does not consent to the imposition; or
- proposes to refuse the application.
A panel of the Registration Committee can consider requests to approve terms, conditions, and limitations agreed to by the applicant and the Registrar or may negotiate its own agreement with the applicant for terms, conditions, or limitations.
When an application is referred to the Registration Committee, the panel must consider the application and any submissions provided by the applicant. The panel then has power to make one of the following orders:
- Directing the Registrar to issue a certificate of registration.
- Directing the Registrar to issue a certificate of registration if the applicant successfully completes examinations set or approved by the panel.
- Directing the Registrar to issue a certificate of registration if the applicant successfully completes additional training specified by the panel.
- Directing the Registrar to impose specified terms, conditions, and limitations on a certificate of registration of the applicant and specifying a limitation on the applicant’s right to apply to vary those terms.
- Directing the Registrar to refuse to issue a certificate of registration.
A panel can only register an applicant who has met all the registration requirements unless any unfulfilled requirements are exemptible.
Appealing a Registration Committee Panel Decision
The Health Professions Appeal and Review Board (HPARB) is an independent adjudicative agency and an integral component of the self-regulating health profession system in Ontario. It is responsible for conducting complaint and registration reviews and hearings.
Applicants who have received a decision from the Registration Committee may appeal the decision through a written request to HPARB.
You can read more on HPARB’s Registration Appeals Information Sheet on HPARB’s website.
How to Register
This information covers how to apply for registration as a graduate of an Ontario Midwifery Education Program (MEP) or the College’s Orientation and Assessment Pilot Program.
The completed application form is submitted to the College along with the following:
- A Letter of Eligibility to Graduate and clinical experience record directly from the MEP or documentation showing you have completed the Orientation and Assessment Pilot Program. An original transcript can also be submitted if it comes directly from the school, however it will only be accepted if it states that the degree has been conferred.
- Proof of completion of the Canadian Midwifery Registration Examination (CMRE).
- Proof of current training in Cardiopulmonary Resuscitation (CPR), Obstetrical Emergency Skills (ES) and Neonatal Resuscitation (NRP).
- Proof of completion of the College’s Jurisprudence Course.
- A completed Vulnerable Sector Record Check.
- A clear copy of proof of eligibility to work in Canada (Canadian passport, Permanent Resident card, employment authorization).
- A clear copy of official photo identification with your legal name (driver’s licence, passport, photo health card, etc).
- Any name change information.
- A current-coloured headshot.
- A letter(s) of standing from all jurisdictions where you are or have been registered or licensed to practise midwifery or any other profession inside or outside of Canada.
Applications are reviewed to determine completeness and to ensure the applicant meets all of the registration requirements for a general certificate as outlined in the Registration Regulation. Once an application has been reviewed, the applicant will be contacted and informed of any missing information or documentation. This process usually takes seven days.
If the College finds clinical number deficiencies or gaps in clinical experience when reviewing an application, the College may prepare an individualized supervision plan. This plan allows the applicant to be registered in the supervised practice class and to practise under the supervision of a designated midwife.
If an application is incomplete, the College will advise the applicant by email. Once all items are received, the Registrar will either approve the application or refer the application to a panel of the Registration Committee. The Registrar will only refer applications for registration that do not meet the requirements set out in the Registration Regulation.
Learn more about Registration Committee Panels for Applicants.
Professional Liability Insurance Verification
Once the application is complete, the College will verify that the applicant has arranged professional liability insurance and that it will be effective as of the anticipated date of registration.
Upon receipt of insurance and payment of fees, the College will issue the registration number and process the registration documents. Once the applicant has received confirmation from the College of registration, the new registrant may now begin providing midwifery services. The College will inform the new midwife of their registration, and the effective date of registration by email. New registered midwives will receive their wallet card and electronic certificate of registration immediately via the Registrant Portal.
Eligibility to Practise Midwifery in Ontario
Education in Ontario
Midwifery Education Programs in Ontario are currently offered by McMaster University, and Toronto Metropolitan University. We encourage all applicants to visit each university’s website for a more detailed description of the program, admission criteria and selection process.
What if I’m a former registrant returning to practise?
Read this section to learn about registration requirements if you are a former registrant of the College and are not currently registered to practise midwifery in another Canadian-regulated jurisdiction.
The Registration Regulation requires that all applicants to the College must:
- Have a degree from a Midwifery Education Program in Ontario or have completed the International Midwifery Pre-registration Program or the College’s Orientation and Assessment Pilot Program.
- Meet the current clinical experience requirements set out in the Registration Regulation.
- Complete the qualifying examination
If you are applying to the College as a former registrant, and you meet the following criteria, you are exempted from the above qualifications but will be referred to the Registration Committee for approval of a requalification program.
- You resigned your general certificate of registration less than five years ago
- You held a general certificate of registration for at least one year
- Over a one-year period, you provided midwifery care to at least 20 clients, 10 of whom you attended as primary midwife with at least five births occurring in a hospital and at least five in a residence, remote clinic, or remote birth centre; and
- You have completed a requalification program approved by the Registration Committee.
If you meet the above criteria, you are eligible to re-register with the College following completion of a re-qualification program. Please see the former registrant application process for more details on what you will be required to provide to the College.
If you do not meet the above criteria, then you can contact the College at email@example.com to discuss your options.
Applicants from Outside Ontario
What if I am an applicant from another Canadian jurisdiction?
Labour Mobility in Canada
In 2017, the Canadian Free Trade Agreement (CFTA) replaced the Agreement on Internal Trade (“AIT”). Regarding labour mobility, the CFTA website explains:
“Labour Mobility provisions of the CFTA (Chapter 7) state that certified workers have to be recognized as qualified to work by a regulatory body in another province or territory which regulates that occupation, without having to go through significant additional training, work experience, examination or assessment, unless an exception has been posted.”
Accordingly, a midwife who is registered and in good standing with another Canadian midwifery regulator can apply for registration in Ontario and will be considered under the out-of-province certificate holder provisions of the Registration Regulation, under the Midwifery Act, 1991.
Does Labour Mobility Apply to You?
If you are a midwife who is currently registered in another Canadian-regulated midwifery jurisdiction your application for registration in Ontario will be considered as follows:
- Where the registration categories/certificate/license are similar the equivalent Ontario certificate will be issued upon:
- Provision of a complete application for registration form
- Provision of a letter of Professional Standing and Conduct from all jurisdictions where the applicant is or has been registered in Canada
- Completion of the College’s Jurisprudence Course
- Provision of a current Vulnerable Sector Check in accordance with the College’s Criminal Record Screening Policy
- Proof of professional liability insurance
- Application and registration fees.
- If you hold a certificate of registration from another jurisdiction and there is not an equivalent Ontario certificate, the College will consider your application and determine your options for route of entry.
What if I am an applicant who completed midwifery education outside Canada?
Orientation and Assessment Program
The College has created a program to help internationally educated midwives meet the qualification requirements to practise midwifery in Ontario. To be eligible for the program, applicants must be able to work in Canada, provide proof of credentials and midwifery experience, and demonstrate proficiency in one of Canada’s official languages, English or French.
All participants in the Orientation and Assessment Program must successfully complete three foundational assessment modules online that contain information about practising midwifery in Canada, overviews of expected competencies, and an introduction to the Canadian healthcare system.
After finishing the online assessment modules, participants must pass external online courses that will prepare them to demonstrate the competencies required for practising midwifery in Canada.
Following the online modules and external courses, you must successfully complete the 10-day in-person intensive course. The intensive includes clinical skills practice, written exam review, and comprehensive assessment. You must successfully complete all included components and pass all assessments to complete the College’s Orientation and Assessment Process and move on to write the CMRE.
Successful completion of the Orientation and Assessment Pilot Program does not guarantee registration with the College. At the time of registration you will need to meet the registration requirements.
Learn more about the Orientation and Assessment Program
Fee Schedule (Initial Registration)
Initial Registration Fees for Transitional, Supervised Practice, and General Classes
The College registration year is from October 1 to September 30.
Single Payment Option
|Month of Registration||Annual Registration Fee||Annual Admin Fee||Total Fees Payable |
as of the 1st of the Month
Instalment Payment Option
|Month of Registration||1st Instalment Payable |
as of the 1st of the Month
|2nd Instalment Payable |
as of Feb 1, 2024
|February 2024||Instalment option not available|
|March 2024||Instalment option not available|
|April 2024||Instalment option not available|
|May 2024||Instalment option not available|
|June 2024||Instalment option not available|
|July 2024||Instalment option not available|
|August 2024||Instalment option not available|
|September 2024||Instalment option not available|
*Instalment plan fees can be paid by cheque or money order only. We cannot accept credit cards for this option.
Option 1: Cheques/Money Orders
Cheques or money orders payable to the “College of Midwives of Ontario”. Applicant’s name must be included on the front of each cheque or money order. If paying by instalment, all cheques or money orders must be provided to the College with the registration application.
Option 2: Visa/MasterCard
Fees may be paid in full by Visa or MasterCard. Select the payment by credit card option within the Registration Application. The instalment option is not available for credit card payments.
All midwives are required to renew their registration with the College by October 1 of each year.
Renewal information will be sent to all registered midwives and posted in the Registrant Portal.