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Mailing Address
Health Professions Regulatory Advisory Council
55 St. Clair Avenue West
Suite 806 Box 18
Toronto, Ontario, Canada
M4V 2Y7

Telephone and Facsimile
Toll-Free: 1-888-377-7746
Telephone: 416-326-1550.
Fax: 416-326-1549


Click here for overview of current ministerial referrals

Individuals and organizations have responded to the submission made by the College of Nurses of Ontario (CNO) concerning the scope of practice of extended class nurses (nurse practitioners).  Responses received by HPRAC are posted on the HPRAC website; however, HPRAC reserves the right to delete personal information to meet its obligations under the Freedom of Information and Protection of Privacy Act, R.S.O 1990, Chapter F.31.

The responses to the CNO submission are intended to provide comment and analysis of the proposals made by the CNO, and to present information that will assist in the review, and in the consideration of advice that HPRAC provides to the Minister. Responses are available in the language in which they are received, and will not be translated from English to French or French to English.

This page is under construction as new submissions are added. To view the submissions, click on the underlined links below:  


Michelle Acorn RN(EC), NP-PHC, BScN/PHCNP, MN/ACNP, ENC(c), GNC(c): M. Acorn Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Susan Allen RN(EC), PHCNP and Bonny Johnson RN(EC) PHCNP:  S.Allen and B. Johnson Joint Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Esther Allen-Fogarty RN(EC), BScN, MN, PHCNP:  E. Allen-Fogarty Submission Respecting the Scope of Practice for Nurses in the Extended Class

Karen Antoni RN, MHSc, ACNP:  K. Antoni Submission Respecting the Scope of Practice for Nurses in the Extended Class

Association of Ontario Health Centres:   Association of Ontario Health Centres Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Betty Barber: Joint Submission with Kelly Thorstad:  B. Barber Submission Respecting the Scope of Practice of Registered Nurses in the Extended Class

Peter Bell MD, CCFP: P. Bell Submission Respecting the Scope of Practice of Registered Nurses in the Extended Class

Debra Bishop, PHNCP Graduate (pending registration): D. Bishop Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Board of Directors of Drugless Therapy - Naturopathy:    BDDT-Naturopathy Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Marilyn Butcher RN(EC): M. Butcher Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Canadian Nurses Association: Canadian Nurses Association Submission Respecting the Scope of Practice for Nurses in the Extended Class

Canadian Nurse Protective Society:   CNPS Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Canadian Society of Diagnostic Medical Sonographers:  CSDMS Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Nathalie Chisholm NP-PHC, RN(EC): N. Chisholm Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

College of Physicians and Surgeons of Ontario: CPSO Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Community and Primary Health Care - Lanark, Leeds-Grenville and Kingston:     CPHC Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Angela Connelly B ScN, RN, ENC (C) COUPN PHCNP, York University student:  A. Connelly Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Council of Ontario University Programs in Nursing:  COUPN Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Angus Daniel, MD, CCFP:  A. Daniel Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Samantha Dalby RN(EC), BA, BScN, PHCNP: S. Dalby Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Sandy Darlington RN, BScN: S. Darlington Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Suzanne Doucette RN, OPN, MHA:  S. Doucette Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Espanola & Area Family Health Team: Espanola & Area Family Health Team Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Fairmount Home, County of Frontenac: Fairmount Home Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Kathleen Foss RN(EC): K. Foss Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Jennifer Fournier RN(EC), BA: J. Fournier Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Andrea Frey, RN:  A. Frey Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Adrienne Fulford, MScN, RN(EC), NPPHC:  A. Fulford Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Diane Gwartz BScN, RN(EC): D. Gwartz Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Brenda Halabisky RN(EC), MScN:  B. Halabisky Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Lynn Halliday BScPHM: L. Halliday Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Hamilton Health Sciences and St. Josephs Healthcare: Hamilton Health Sciences and St. Josephs Healthcare Joint Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Robert Harris APN, Rheumatology:  R. Harris Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Roberta Heale, RNEC, MN, DNP(c): R. Heale Submission Respecting the Scope of Practice of Registered Nurses in the Extended Class

Janet Helmer RN(EC), MEd, PHCNP: J. Helmer Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Leslie Hirst: L.Hirst Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Carol Hobbs RN(EC), BScN, PHCNP:  C. Hobbs Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Jennie Humbert RN(EC) MHSc, PHCNP:J.Humbert Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Christina Hurlock-Chorostecki RN, MScN, APN, CNCC(C): C.Hurlock-Chorostecki Submission Respecting the Scope of Practice for Nurses in the Extended Class

Huronia Nurse Practitioners Network:   HNPN Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Bonny Johnson RN(EC), PHCNP:  B. Johnson Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Lorraine Johnston,  RN(EC) MA Ed, PHCNP:   L Johnston Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Stacey Karp RN(EC), PHCNP, GNC(c), MScN(c): S. Karp Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Karen Katsademas RN(EC): K. Katsademas Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class  

Alexandria Kells, RN(EC):  A.Kells Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Kingston General Hospital and Hotel Dieu Hospital: KGH and HDH Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Rosemary Kohr RN, PhD, APN:  R. Kohr Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class 

Laura Kollenberg BNSc, RN(EC): L. Kollenberg Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Julie Anne Lawrence-Murphy RN(EC), MScN, CNeph (C):  J. Lawrence-Murphy Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Ming Lee RPh, Director Pharmacy Services, York Central Hospital:  M. Lee Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Leanna Lefebvre RN:   L. Lefebvre Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Timothy Lenartowych: T. Lenartowych Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Maureen Loft RN, MScN, ONC(C):   M. Loft Submission Respecting the Scope of Practice for Registered Nurses in Ontario

London Health Sciences Centre and St. Joseph's Healthcare, London: London Health Sciences Centre and St. Joseph's Healthcare Joint Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

London Region Advanced Practice Nurses: LRAPN Submission Respecting the Scope of Practice of Registered Nurses in the Extended Class

Terri MacDougall RN(EC):  T. MacDougall Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

J.R. Mackenzie RN(EC), MScN:  J.R. Mackenzie Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Elyse Maindonald RN(EC), MN, ANP: E. Maindonald Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Denise Marion RN(EC), MSc:  D. Marion Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Amanda Marshall:  A.Marshall Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Charlotte McCallum RN, BScN, MN, ACNP, CNCC(C): C. McCallum Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Laurie McKellar RN(EC), BScN: L. McKellar Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Mohawk College: Mohawk College Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Catharine Miske RN(EC) MN: C. Miske Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Susan Monaghan BScN, RN(EC): S. Monaghan Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Robert A. Morton: R. Morton Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Anluise Munro, COUPN PHCNP McMaster student:  A. Munro Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Nurse Practitioners' Association of Ontario: NPAO Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Agnieszka Okoniewska:  A. Okoniewska Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Ontario Association of Medical Radiation Technologists:   OAMRT Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Ontario Association of Radiology Managers: OARM Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Ontario College of Family Physicians: OCFP Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Ontario College of Pharmacists:   OCP Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Ontario Long-Term Care Association:   OLTCA Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Ontario Medical Association:  OMA Transmittal Letter to HPRAC ; OMA Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Ontario Medical Association - Section on Anesthesiology:  OMA - Anesthesiology Section - Transmittal Letter ; OMA - Anesthesiology Section - Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Ontario Medical Association - Section on Orthopaedics:  OMA - Orthopaedics Section - Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Ontario Pharmacists Association:  Ontario Pharmacists Association Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Ontario Physiotherapy Association:   OPA Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Ontario Podiatric Medical Association: OPMA Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Ontario Society of Diagnostic Medical Sonographers: Ontario Society of Diagnostic Medical Sonographers Submission respecting the Scope of Practice for Registered Nurses in the Extended Class

Joy Parsons-Nicota RN(EC), BScN, MScN, PHCNP, GNC(c): J. Parsons-Nicota Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Terri Peirone RN(EC): T. Peirone Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Peterborough Family Health Teams:  PFHT Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Peterborough Networked Family Health Teams:  PNFHT Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Michael Poling MSc(Kin.), MSc(PT), CAFCI: M. Poling Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Dr. Zahir Poonja MD, CCFP:   Dr. Zahir Poonjah Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class 

Danica Prusic BA, RDMS, RTR, CRGS, ADipHSA: D. Prusic Submission Respecting the Scope of Practice of Registered Nurses in the Extended Class

Mary Pye RN(EC), Maureen Mungall RN(EC), Silvana Rotili RN(EC):  M.Pye, M. Mungall and S.Rotili Joint Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Susan Quirk RN, MSc., (A)N:  S. Quirk Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Registered Nurses Association of Ontario:   RNAO Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Registered Practical Nurses Association of Ontario:    RPNAO Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Jane Saal RN:  J. Saal Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Pam Salvador CDA, CHRM, RN, BScN, RN(EC): P. Salvador Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Phil Smith, Manager Diagnostic Imaging, Espanola General Hospital:  P. Smith Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Karen Snider RN, BScN, MN(c), PHCNP FNPH(t): K. Snider Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Margaret Snyder RN(EC), MN, PHCNP:M. Snyder Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Dave Speer: D. Speer Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Patti Staples RN, MScN, CCN(C):  P. Staples Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Jacquelynne A. Stewart BScN, RN(EC): J. Stewart Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class  

Sudbury District Nurse Practitioner Clinics:  Sudbury District Nurse Practitioner Clinics Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Judy Tigert RN, BScN, MScN, C(Neph):  J. Tigert Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Suzanne Tierney RN, BScN, MN, ACNP: S. Tierney Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Kelly Thorstad RN, MScAN COUPN PHCNP University of Ottawa Student:  K. Thorstad Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Tariq Towfeq PHCNP, Anishnawbe Health Centre:  T.Towfeq Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Blair Voyvodic MD:  Dr. B. Voyvodic Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Victorian Order of Nurses:  VON Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Jessica Wagner RN, BScN, MSCN, COUPN PHCNP Student, University of Western Ontario:  J. Wagner Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Heather Whittle RN, MScN, GNC(C): H. Whittle Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Mary Woodman, RN(EC), BNSc, MPA:  M. Woodman Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class

Susan Zorzi:  S. Zorzi Submission Respecting the Scope of Practice for Registered Nurses in the Extended Class