How to become an occupational therapist in Canada

Learn how to become an occupational therapist in Canada as an internationally educated professional. Explore licensing steps, salary expectations, credential recognition, and how Windmill Microlending can support your journey with low-interest loans and career guidance.

A Newcomer's Journey

July 30, 2025

Occupational therapists (OTs) play a critical role in helping Canadians lead healthier, more independent lives. They support individuals recovering from injury, managing chronic conditions, or navigating disability empowering them to participate fully in work, school and daily routines.

With Canada’s aging population and rising demand for rehabilitation services, the need for trained occupational therapists is growing steadily. According to the Government of Canada’s Job Bank, employment prospects for occupational therapists are strong in provinces like Ontario, British Columbia, Alberta and Nova Scotia, with job vacancies driven by population growth and increased funding for health services.

If you're an internationally educated occupational therapist looking to practise in Canada, this guide outlines the registration process, education pathway and financial support options available to help you get started.

What does an occupational therapist do?

Occupational therapists work with people of all ages to improve their physical, emotional or cognitive abilities so they can engage more fully in daily life. Their work may include:

  • Helping stroke survivors regain mobility
  • Supporting children with autism to succeed in school
  • Advising seniors on safe home environments
  • Assisting people returning to work after an accident

They collaborate with doctors, social workers, physiotherapists and other professionals in hospitals, clinics, schools, rehabilitation centres and home care settings.

Is occupational therapy regulated in Canada?

Yes. Occupational therapy is a regulated profession in all provinces and territories in Canada. To work as an OT, you must be licensed by the provincial or territorial regulatory body where you intend to practise. This process involves credential verification, exam completion and, in many cases, language proficiency proof.

Steps to become an occupational therapist in Canada

1. Create an account with SEAS (Substantial Equivalency Assessment System)

The SEAS process is mandatory for internationally educated occupational therapists. It’s managed by ACOTRO and assesses whether your education and training are substantially equivalent to Canadian standards.

You’ll need to:

  • Register with ACOTRO through the SEAS Portal
  • Pay the SEAS fee (approx. $3,200 CAD)
  • Submit your academic transcripts and credential evaluation through organizations like WES or ICAS
  • Provide evidence of professional work experience and registration

2. Complete the academic and competency assessments

The SEAS process includes multiple steps:

  • Document-based assessment: Reviews your credentials
  • Academic credential review: Verifies comparability to Canadian OT programs
  • Competency assessment: A two-day practical and written evaluation to assess your skills
  • Language proficiency test: Typically IELTS or TOEFL for English, or TEF for French

Only after passing all components will you receive a SEAS Certificate of Substantial Equivalency.

3. Apply for the national registration exam (NOTCE)

Once SEAS-certified, you are eligible to write the National Occupational Therapy Certification Examination (NOTCE). This exam is administered by the Canadian Association of Occupational Therapists (CAOT).

  • Fee: Approximately $950 CAD
  • Format: Multiple-choice exam
  • Schedule: Held two to three times per year

Visit: https://www.caot.ca

4. Register with your provincial regulatory body

After successfully passing the NOTCE, you must apply to the college in your intended province or territory. Examples include:

  • College of Occupational Therapists of Ontario (COTO) coto.org
  • Alberta College of Occupational Therapists (ACOT) acot.ca
  • College of Occupational Therapists of British Columbia (COTBC) cotbc.org
  • Ordre des ergothérapeutes du Québec (OEQ) oeq.org

Each regulatory body may have additional requirements like jurisprudence exams, criminal background checks or supervised practice hours.

How long does it take to become an occupational therapist in Canada?

For internationally educated professionals, the licensing process generally takes 18 to 30 months, depending on:

  • How quickly documentation is submitted and assessed
  • Exam availability and pass rate
  • Whether any bridging or upgrading is required
  • Provincial registration timelines

Occupational therapist salary in Canada

According to the Government of Canada’s Job Bank, the median wage for occupational therapists in 2024 is $42.00/hour nationally.

  • Up to $52.00/hour in provinces like Alberta and Ontario
  • Annual earnings typically range from $75,000 to $100,000+

Job security is high due to demand in both urban and rural areas.

Funding your licensing and credential process

The process of becoming a licensed occupational therapist in Canada can cost between $5,000 to $10,000 CAD, depending on SEAS and NOTCE exam fees, credential assessments, translation services, licensing and registration costs and relocation, childcare or technology access for virtual assessments

How Windmill Microlending can support you

At Windmill Microlending, we help skilled newcomers like occupational therapists restart their careers in Canada. We offer low-interest loans of up to $15,000 to cover costs such as:

  • Credential and competency assessments (SEAS)
  • NOTCE registration fees
  • Licensing, relocation and professional development costs
  • Language tests or exam preparation courses

Beyond financing, Windmill also provides free career coaching, mentorship and financial planning tools to help you succeed in Canada’s healthcare system.

Visit windmillmicrolending.org to see how we can help you move forward with confidence.

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