
Registrants in independent practice are self-employed and provide professional nursing services in a variety of ways: as an individual, in association with other self-employed health professionals and/or as an employer of other health professionals.
Given the nature of the work/services provided, independent practice has the potential for increased risk to the public. The CRNS has introduced a bylaw requirement whereby registrants who operate in an independent practice must register the practice with the CRNS.
Criteria for Registering Your Independent Practice with the CRNS
You need to register your independent practice with the CRNS if you answer ‘yes’ to one or more of the following:
- Are you using your RN or NP designation in your independent practice?
- Do you own the business or practice you are claiming RN or NP practice hours from?
- Are you financially invested in the business you are claiming RN or NP practice hours from?
- Do you profit from the business and/or are you at risk of personal financial loss?
- Do you substantially control the business activities?
- Do you hire your own employees?
- Do you submit invoices for services you provide?
- Are you the custodian or trustee of client health information and/or health records?
Independent Practice Registration
To register your practice you must:
- Be in good standing with the CRNS;
- Review and understand the CRNS Self-Employed Practice Guidelines;
- Complete the Confirming Nursing Practice Process if your independent practice provides new/evolving treatments/procedures or if you are unsure if it falls within your scope of practice; and,
- Meet the legal and legislative requirements for operating an independent practice (business). This includes but is not limited to: business license(s), insurance, liability protection, privacy and records retention.
CRNS Independent Practice registration is valid for the licensure year (December 1 – November 30) and must be renewed annually. There is no fee to register.
Failure to register your practice may be considered professional misconduct.
See Bylaw XII, Section 6.
Initial Registration of Your Independent Practice
The initial registration of your independent practice consists of two steps. The first step involves registering your business, and the second step involves registering your independent practice.
- Login to the CRNS Portal.
- Click ‘Add independ. practice’ on the left side of the screen.
- Input your business name and address then save.
- If your business is already in our system, please email regulation@crns.ca with the name.
- We will email when you have been added as a contact to the business and can proceed to Step 2.
- If you are not already logged in, login to the CRNS Portal.
- On your home page you will see the Independent Practice showing as Active with a button to “Apply.” This section will appear under the My Forms, not in the tabs on the left-hand side. Click the “Apply” button.
- Fully complete the application form and click “submit”.
- If you need to save and come back later, please click “Save for Later” button at the bottom of your application form.
- You will need a copy of your business insurance documents for upload to complete the application*.
- CRNS staff will review your application and if any further information is required, they will send it back to you for updates. Please monitor your emails for notification of this request.
- Once your application has been approved, you will see your Independent Practice show as Activec
Before providing any care or services, the CRNS must approve your Independent Practice Registration.
Insurance
*In addition to core CNPS professional liability protection, a registrant engaging in independent practice must provide proof of additional insurance coverage in an amount not less than $2 million per incident and $2 million per year against general liability with respect to the operation of the independent practice as a business. You must maintain uninterrupted coverage at all times.
Independent Practice Verification Service
Our online verification service enables the public, employers and registrants to verify if an independent practice is active.
How can you reach us?
Contact a CRNS Advisor by email at register@crns.ca or by phone at 1.800.667.9945.
