The Four-Step Renewal Process
Registrants will be able to renew their practice permit online beginning January 1, 2026.
There are four steps of practice permit renewal:
- Profile Update
- Wrap Up Old CCP (2025/2026)
- Initiate New CCP (2026/2027)
- Declarations and Payment

Renewal Fees
- Early Bird Renewal– starts January 1- February 14, 2026
- Full Renewal– starts February 15-February 28, 2026.
- If a registrant does not renew before March 1, 2026, their practice permit will automatically be cancelled.
Professional Liability Insurance
Registrants must maintain a minimum of $5 million in current professional liability insurance (PLI). ACOT conducts random checks to ensure registrants’ PLI is active for the registration period. Review your insurance certificate and renew with your broker if it expires in the upcoming months.
Renewal & CCP Resources
- * New Practice Permit Renewal, A Step-by-Step Guide to the Renewal Process
- *New Become a Renewal Pro- 2026 Renewal Video
- The Continuing Competence Program (CCP) Comprehensive Step by Step Guide
- Accessing Courses in ACOT’s Online Platform. Note: *If you have obtained the minimum passing score (75%) on the Protecting Patients from Sexual Abuse and Misconduct e-module and your results are displayed in the College Selected tab (Step 2 of Renewal), you have met the requirement. You do not need to take the e-modules again.*
- Tips video on updating your employment information
15-Minute Renewal & CCP Support Series
Do you need a quick refresher on the annual Four-Step Renewal Process? Would you like to know why you must complete the CCP? Or do you need guidance on how to edit your profile? Or how to add a Learning Activity Record? Or how to write a fulsome reflection? Are you limited in time and want a targeted session that is 15 minutes in length?
If so, please join ACOT staff for one of our 15-Minute Renewal & CCP Support Series sessions hosted via Microsoft Teams meetings. No need to pre-register, just click on the link for the session date/time below.
MS Teams Video Conference
- Meeting ID: 290 422 153 426 7
- Passcode: tu9tp96S
Monday, February 9, 12pm Part 3. How do I wrap up my 2025-26 CCP & initiate my 2026-27 CCP? (Steps 2 & 3 of Renewal)
Tuesday, February 10, 12pm Part 4. What is an acceptable Reflection & overview of the CCP component expectations (Steps 2 & 3 of Renewal)
Wednesday, Feb 11, 12pm Part 1. Overview of the 4-Step Renewal Process (Steps 1-4 of Renewal)
Tuesday, Feb 17, 12pm Part 2. How do I complete my Profile Update? (Step 1 of Renewal)
Thursday, Feb 19, 12pm Part 3. How do I wrap up my 2025-26 CCP & initiate my 2026-27 CCP? (Steps 2 & 3 of Renewal)
Friday, Feb 20, 12pm Part 4. What is an acceptable Reflection & overview of the CCP component expectations (Steps 2 & 3 of Renewal)
Tuesday, Feb 24, 12pm Part 1. Overview of the 4-Step Renewal Process (Steps 1-4 of Renewal)
Wednesday, Feb 25, 12pm Part 3. How do I wrap up my 2025-26 CCP & initiate my 2026-27 CCP? (Steps 2 & 3 of Renewal)
Thursday, Feb 26, 12pm Part 4. What is an acceptable Reflection & overview of the CCP component expectations (Steps 2 & 3 of Renewal)
Continuing Competence Program Manual
The Continuing Competence Program Manual (CCPM) aligns with the requirements set out in Part 3 Continuing Competence and Practice Visits of the Health Professions Act (HPA). The CCPM, as a supplemental policy document to ACOT’s Standards of Practice and Code of Ethics, consolidates the requirements of ACOT’s Continuing Competence Program including mandatory participation in Member Selected and College Selected activities.