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Return to Practice

Return to Practice Resources

As Canadian provinces re-open their economies, an evolving new normal for chiropractic practice is expected. Ensuring the safety of patients, staff and yourself in this shifting environment is your top priority. And the first step to achieve safety is to inform yourself and follow the indications of your regulatory college and public health authorities. This page supplements those indications with high-level considerations of the areas you need to cover in the planning and implementation of your return to practice.

Return to Practice Video Resources

CCA Responds: Making Decisions in Preparation for Return to Practice

Speakers: Dr. Debbie Wright, Dr. Vince Adams, Dr. Clark Mills, Alison Dantas
Date: May 11, 2020


CCA Responds: Risk Management Issues and Best Practices for Returning to Practice

Speakers: Dr. Dean Wright and Dr. Gerald Olin
Date: May 14, 2020

Provinces/territories with re-opening plans

Most provincial and territorial governments are reopening their provinces and territories individually while limiting the risk of the further spread of COVID-19. As part of those efforts, they are including access to healthcare services, including chiropractic, which foresee patients being able to see chiropractors in person. Chiropractic regulatory colleges are participating by aligning their directives with provincial efforts.

The content that follows is updated regularly. A government or college is not listed when they have not issued plans publicly.

British Columbia

College of Chiropractic of British Columbia

Province of British Columbia


Government of Alberta

Alberta College & Association of Chiropractors


Government of Saskatchewan

Chiropractors’ Association of Saskatchewan


Government of Manitoba

Manitoba Chiropractors Association


Government of Ontario

College of Chiropractors of Ontario


Ordre des chiropraticiens du Quebec

Government of Quebec

Prince Edward Island

Government of Prince Edward Island

Prince Edward Island Chiropractic Association

  • May 1: Return to practice recommendations

New Brunswick

Government of New Brunswick

New Brunswick Chiropractic Association

Nova Scotia

Government of Nova Scotia

Nova Scotia Chiropractic Association

Newfoundland and Labrador

Government of Newfoundland & Labrador


Key areas to consider

The following key areas to consider in your re-opening planning and implementation are essential to practice safely in the evolving COVID-19 environment. Always begin by informing yourself and following the indications of your regulatory college and public health authorities.

As the work environment has changed for you and your staff – you have new considerations about how to operate your clinic.

HR and Business Video Resources

Preparing for Return to Practice & Managing Best Practices for your People

Speakers: Chen Sasson and Jordan Rodney (MaxPeople HR & Rodney Employment Law)
Date: May 8, 2020

Download the Handout

Hot Topics: Effectively Managing People & Avoiding Employment Related Legal Challenges in the COVID-19 pandemic

Speakers: Chen Sasson and Jordan Rodney (MaxPeople HR & Rodney Employment Law)
Date: May 13, 2020


MaxPeople HR Templates

Disclaimer: Canadian Chiropractic Association assumes no responsibility for the enforcement or effectiveness of its templates and policies. Always consult legal counsel and applicable Regulatory and/or Provincial requirements before implementing any new policies or procedures at your organization.

You need to adjust the patient experience from request to book an appointment, communications prior to arrival, coming to the clinic, treatment, payment and departure. While the following are the high-level areas to take into consideration, check with your regulator for specific indications to follow.

Download the PDF tip sheet of the content that follows.

Office layout

  • Protective barrier at reception desk
  • Location of signage and information materials
  • Adjusting layout to be more conducive to physical distancing
  • Removing magazines and toys

Potential office signage/documents

Booking and pre-appointment communications

  • Triage for those with greatest needs
  • Screening questions
  • Documents to share in advance
  • Email/phone communications
  • Scheduling to limit number of patients at any time to ensure physical distancing


  • Training for new protocols
  • Training for patient screening and PPE requirements

Patient arrival

  • Staggering arrival times
  • Procedures to limit on-site waiting
  • Logistics of physical distancing
  • Patient use of masks and gloves
  • Screening procedures including questionnaire and handling potential positive COVID-19 case


  • PPE requirements
  • Changing techniques to minimize close contact
  • Disinfection of adjunct equipment and tools


  • Procedures to decrease contact with surfaces and objects
  • Direct billing procedures and touchless payment options

Cleaning and disinfection

  • Cleaning surfaces and equipment after a patient visit
  • Overall office cleaning including type of disinfectant used

How should I wear PPE?

It is highly recommended that you wear PPE since you come into close contact with patients, especially during manual procedures. Always begin by informing yourself and following the indications of your regulatory college and public health authorities on this matter.

Proper PPE use resources

The CCA PPE supply initiative

The CCA has partnered with The Raw Office Inc. to help chiropractors offer a safe working environment for their staff and patients. This partnership allows members to purchase quality PPE supplies to be able to follow new safety protocols.

Why did CCA put together a PPE Supply Program for members?

The CCA heard from members about the lack of PPE and the concern that they would be required to have these supplies to meet back-to-work directives. We interviewed potential suppliers that could ensure a sufficient supply, that their products met Health Canada specifications, were licensed, and had reasonable pricing.

Why is pricing much higher in the current marketplace?

Pricing is higher than normal due to the lack of supply in the current emergency and the costs of air freight. There are also counterfeit products and the CCA has taken steps to ensure we are working with a reputable supplier with strict quality controls.

Prices will continue to fluctuate as the market evolves. As prices change, lower prices will be available to members. If you know of a supplier that is offering a better price or product, please let us know by emailing CCA at

How long will it take to get my products?

It is difficult to provide exact shipping and delivery dates due to the delay in getting supplies into the country. As mentioned above, there are shortages for products – adding to the delay in processing orders. Currently, we estimate that orders will take approximately two business days to fill and four to seven business days to reach you. This approximate timing may fluctuate due to the COVID-19 pandemic. Check your tracking number from your shipping company to help determine the arrival for your order. As well, check your junk folder for updates as they may be wrongly sent there.

I do not need PPE – why is the CCA emailing me about this?

PPE requirements differ in each province. Check with your provincial regulators and public health authorities for the specific PPE requirements for chiropractors. You do not have to participate in this program, it is optional.

What is the cost of shipping in the CCA PPE program?

Understandably, pricing is higher than normal due to the lack of supply in the current emergency and the costs of air freight. Shipping is free in Canada for orders of more than $200. The flat rate is $20 for orders under $200. There is no shipping outside of Canada.

How do I use my discount code?

You received a discount code from the CCA by email. Use it in the promo box on the checkout page BEFORE you pay for your order. You need to do this prior to finalizing your order – the CCA cannot guarantee that the discount code can be applied after your order is confirmed.

How do I place an order?

Refer to emails from the CCA about ordering PPE or contact us at

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