From May 2022 to February 2023, the 29 members of the Refresh Project Working Groups and Steering Committee worked together with ACOT staff to prepare the new set of Standards of Practice (SoP) and the Code of Ethics (CoE). The content in the new SoP and CoE was included based on initial consultation with ACOT registrants in March 2022, a fulsome review of other colleges’ SoP and CoE (provincially, nationally, internationally), consultation with legal counsel and other key partners, and follow-up consultation with registrants from August 2022 to February 2023. In accordance with the requirements outlined in the Health Professions Act section 133(2)(b), the drafts were submitted to the Minister of Health on March 13, 2023, for their review. Feedback was received from the Government in July 2024. Final revisions were made by ACOT based on Government recommendations and ACOT Council approved the final documents on September 28, 2024.