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The CRPO path, by Canada Therapy & Wellness

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Referrals and self-referral

CRPO's Standard 1.9: what to do before any referral, referring to someone you know, self-referral and its safeguards, no commissions, answering incoming referrals, and keeping your list current.

Study aid, not legal advice.Last verified against the official sources linked below on .

Before any referral (1.9.1)

  1. Inform the client of the referral, its reasons and implications.
  2. Obtain their informed consent to refer.
  3. Take reasonable steps to assure yourself of the other professional's competence and character: trained or certified, meeting their profession's standards, and what you say about them accurate.

When to refer

  • You must refer when you lack the knowledge, skill or judgment to offer needed services, and supervision or consultation cannot make it safe (2.1.6).
  • Other reasons: temporary unavailability, a full client load, or care that supplements yours.
  • Whenever possible, give the names of more than one professional.

Someone you know (1.9.2)

  • Fully disclose the extent of the relationship.
  • Provide alternatives.
  • Assure the client their decision will not affect your care.
  • It is technically a conflict of interest; with these safeguards and a documented conversation, it is not an irreconcilable one.

Self-referral (1.9.3)

  • Self-referral: suggesting a client see you for another service (group therapy for an individual client) or elsewhere (an EAP client to your private practice).
  • Allowed only if the benefit to you is disclosed.
  • Offer at least three appropriate options, yourself included.
  • Reassure the client the existing relationship will not be affected, and document the disclosure.

No commissions (1.9.4)

  • Do not accept commission fees or otherwise benefit materially from referring clients to other professionals.

Incoming referrals (1.9.5)

  • Respond within a reasonable timeframe, confirming or denying your capacity and competency to take the client.
  • This includes people acting on your behalf, such as reception.
  • If you decline, you are not obligated to suggest alternatives: the referring registrant makes reasonable efforts to find others.

Keep your list current

  • Check from time to time that your referral contacts are active and taking new clients.
  • Check they are in good standing with their college, if any.
  • Document any disclosure about a referral or self-referral.

Inform, get consent, check the professional; disclose any tie, offer three options for a self-referral, take no commission, and answer referrals promptly.