About this resource
This checklist walks you through every required step to legally and practically begin family medicine practice in Ontario, whether you are a new graduate, a physician relocating from another province, or an international medical graduate.
Use this when…
- You are completing residency and preparing to enter independent practice
- You are relocating to Ontario from another province or country
- You need a clear sequence of steps for registration, billing and setup
Checklist sections
Step 1: Licensing and Registration
- Apply to the College of Physicians and Surgeons of Ontario (CPSO)
- Confirm certificate class (Independent Practice vs. Restricted)
- Register with the Ontario Medical Association (OMA) for member benefits
- Apply for OCFP membership
Step 2: OHIP Billing
- Register with ServiceOntario as an OHIP billing provider
- Obtain your billing number
- Choose a billing model (FHO, FHT, capitation, FFS)
- Set up billing software
Step 3: Professional Insurance
- Register with the Canadian Medical Protective Association (CMPA)
- Confirm CMPA fee coverage for your practice type
Step 4: Practice Setup
- Choose a practice location and model
- Select an EMR
- Complete infection prevention and control (IPAC) requirements
- Set up secure messaging
Suggested citation
OCFP Transition to Practice Working Group. Starting Practice in Ontario: Checklist for New Family Physicians. OCFP; 2026. Reviewed July 1, 2026.Retrieved from: ontariofamilyphysicians.ca/resources/starting-practice-ontario-checklist/