Practice Advisory FAQs

CRPO offers a practice advisory service to respond to enquiries about professional practice, ethics and standards. The service provides information and resources to Members and the public to assist with a variety of practice situations.

The Practice Advisor role is staffed by a practising Registered Psychotherapist. The Practice Advisor welcomes your questions and concerns and can be contacted as follows:

Cindy Elkerton, RP


Phone: 416-945-3690

Fax: 416-874-4079

Note: The Practice Advisor does not deal with concerns about the service being offered by a particular Member, complaints or professional misconduct. These should be directed to

The Practice Advisory service will also be providing information for Members on various topics that emerge as key trends. Many topics are not clear-cut, but it is important to be aware of basic principles and practice standards.

Fees and Billing

Q: I am an RP and I am opening a private practice. I’m confused about fees and billing. How much should I be charging my clients? What should my receipts look like? What needs to be included? What are CRPO’s guidelines? I want to make sure I am doing this correctly for CRPO and also for my clients.

A: Setting fees

According to Professional Practice & Jurisprudence for Registered Psychotherapists [1], “Establishing professional fees charged by Members is not within the mandate of the College, and the College does not set the fees for Members’ services. In fact, the college does not regulate the amount a Member may charge a client, unless the fee is excessive. A fee is considered excessive if it takes advantage of a vulnerable client or is so high that the profession would conclude that the RP is exploiting a client.” For additional information regarding fees, consult the Professional Practice Standards, Standard 6.1: Fees.

Billing and receipts

Many Members, especially those in private practice, collect payment  after each psychotherapy session and issue a receipt to the client. The College has information on financial record-keeping, including billing and receipts, in the Professional Practice Standards, Standard 5.3: Issuing Accurate Documents[2] and Standard 5.5: Record-keeping – Financial Records[3].  Members must provide clients with accurate records and other documents, including invoices, bills and receipts.

In short, receipts should include:

  • the Member’s legal name (and any alternate name used in practice);
  • title conferred by the College and registration number;
  • amount paid;
  • date the service was provided;
  • type of services provided; and
  • full name of the client.

Members are expected to be accurate, transparent and reasonable in their fee and billing practices. For example, if a Member works with associates, it should be clear which psychotherapist saw the client.

[1] Page 39

[2] Page 67.

[3] Page 69.