{"id":31625,"date":"2026-07-24T23:22:35","date_gmt":"2026-07-24T23:22:35","guid":{"rendered":"https:\/\/healthcareethicscourses.com\/can\/?page_id=31625"},"modified":"2026-07-25T01:08:11","modified_gmt":"2026-07-25T01:08:11","slug":"what-happens-during-a-physiotherapy-alberta-investigation","status":"publish","type":"page","link":"https:\/\/healthcareethicscourses.com\/can\/what-happens-during-a-physiotherapy-alberta-investigation\/","title":{"rendered":"What happens during a Physiotherapy Alberta investigation?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"31625\" class=\"elementor elementor-31625\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e8d12f5 e-flex e-con-boxed e-con e-parent\" data-id=\"e8d12f5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c4d2b75 elementor-widget 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var(--line);padding-top:18px;margin-top:2.2rem;}\r\n@media(max-width:620px){.hec-canart .cgrid{grid-template-columns:1fr;}.hec-canart{font-size:16px;}}\r\n<\/style>\r\n<article class=\"hec-canart\">\r\n<nav class=\"crumb\"><a href=\"https:\/\/healthcareethicscourses.com\/can\/knowledge-support\/\">Knowledge &amp; Support<\/a><span>\/<\/span><a href=\"https:\/\/healthcareethicscourses.com\/can\/knowledge-support\/physiotherapists\/alberta\/\">Physiotherapists &mdash; Alberta<\/a><span>\/<\/span>What happens during a Physiotherapy Alberta investigation?<\/nav>\r\n<p class=\"eyebrow\">Alberta \u00b7 College of Physiotherapists of Alberta<\/p>\r\n<h1>What happens during a Physiotherapy Alberta investigation?<\/h1>\r\n<div class=\"meta\"><b>10 min read<\/b><span>Last updated July 14, 2026<\/span><\/div>\r\n<p class=\"lede\">When the College of Physiotherapists of Alberta directs an investigation, your matter moves from a written exchange to structured fact-finding &mdash; often including a review or audit of your clinical records. Knowing what the investigator can do, and the defined points at which the matter can end, lets you engage from information rather than fear.<\/p>\r\n<div class=\"callout\"><b>The through-line.<\/b> An investigation is fact-finding, not a verdict. It ends in one of a few defined ways: no further action, a facilitated resolution, or referral to a Hearing Tribunal under the section 66(3) test. Cooperate fully, keep your insurer and lawyer informed, and document every request and response. How you conduct yourself during the investigation is itself evidence of your professionalism.<\/div>\r\n<h2>When and why an investigation starts<\/h2>\r\n<p>Not every complaint is investigated. Under the Health Professions Act the Complaints Director may resolve a matter, dismiss it where there is no jurisdiction or merit, or direct an investigation where the concern is serious enough or the written record leaves questions open. The College can also initiate an investigation on its own where information suggests unprofessional conduct, including referrals arising from the Continuing Competence Program.<\/p>\r\n<p>An investigation is not a finding that you did something wrong. It means the Complaints Director needs facts the correspondence alone cannot settle. A physiotherapist who engages openly is not disadvantaged by that.<\/p>\r\n<h2>What the investigator can do<\/h2>\r\n<p>An appointed investigator gathers the evidence relevant to the concern. In physiotherapy matters this commonly includes a review or random audit of clinical charts against a specific Standard of Practice &mdash; documentation and record keeping, consent, or the sexual abuse and misconduct standard &mdash; as well as requests for correspondence, billing records, and your account of specific events. You are expected to cooperate fully; obstructing or misleading an investigator is a serious matter in its own right, distinct from the original concern.<\/p>\r\n<p>The investigator may interview you, the complainant, and witnesses such as colleagues, supervisors, or employers. Where a concern turns on clinical or professional judgement, an expert opinion may be obtained. The investigation report and the evidence it gathers become the record the Complaints Director relies on.<\/p>\r\n<h2>Your obligations, and your rights, while it runs<\/h2>\r\n<p>You must respond to reasonable requests for records and information and you must be truthful. You are entitled to know the substance of what is being investigated, to take advice, and to be represented. This is where your professional liability insurer and a regulatory lawyer earn their place: they help you respond accurately, frame your account, and avoid the unforced errors &mdash; over-explaining, speculating, contradicting your own records &mdash; that lengthen matters.<\/p>\r\n<p>Keep the clinical record intact and unaltered. If you locate further relevant material as the investigation proceeds, provide it rather than curating. Keep your own dated log of every request received and response sent, so your cooperation is itself on the record.<\/p>\r\n<h2>The section 66(3) referral test<\/h2>\r\n<p>When the investigation is complete, the Complaints Director decides, under section 66(3) of the Health Professions Act, whether to refer the matter to a hearing or dismiss it. The threshold is two-fold. First, there must be a reasonable prospect of establishing the facts necessary to prove the allegation before a Hearing Tribunal. Second, the Director must have significant concerns about the physiotherapist's competence or ethics, or see a significant risk to public protection if the alleged practice continues.<\/p>\r\n<p>If either limb is not met &mdash; the evidence is insufficient, or the shortfall does not rise to unprofessional conduct &mdash; the matter is not referred. Many investigations end here, sometimes with practice recommendations rather than any formal finding.<\/p>\r\n<h2>Facilitated resolution<\/h2>\r\n<p>Where the evidence would support a referral but a full hearing is not necessary, the Complaints Director may offer facilitated resolution. This is a formal, binding Agreement and Undertaking between you and the College, agreed only where both you and the complainant consent, and its terms are typically similar to the orders the College would seek at a hearing.<\/p>\r\n<p>In practice these agreements often require you to review and reflect on specific standards or the Code of Ethical Conduct, complete an approved course, or undertake chart reviews over a set period. Under section 119 of the Act, the conditions are recorded on your practice permit and appear on the public registry until the matter is resolved. Facilitated resolution is frequently the most constructive outcome available once concerns are substantiated.<\/p>\r\n<h2>If it is referred to a Hearing Tribunal<\/h2>\r\n<p>A referral moves the matter into a formal, quasi-judicial hearing that proceeds much like a court proceeding. The Hearing Tribunal is composed of two physiotherapists and two members of the public, and the Health Professions Act requires at least fifty percent public membership. The College's Complaints Director presents the case and carries the onus of proving the allegations on the balance of probabilities; you have a statutory right to be represented and should exercise it.<\/p>\r\n<p>Hearings are generally open to the public unless the Tribunal directs otherwise, and upcoming hearings are posted on the College's website. If unprofessional conduct is found, the Tribunal makes orders under section 82 &mdash; the subject of our remediation guide. A tribunal decision can be appealed to the Council of the College and, from there, to the Alberta Court of Appeal.<\/p>\r\n<section class=\"kt\">\r\n<h2>Key takeaways<\/h2>\r\n<ul>\r\n<li>An investigation is directed when the Complaints Director needs facts the written response cannot settle &mdash; it is fact-finding, not a verdict.<\/li>\r\n<li>PT investigations commonly include a review or random audit of clinical charts against a specific Standard of Practice, plus interviews and, where needed, expert opinion.<\/li>\r\n<li>You must cooperate and be truthful; obstructing or misleading an investigator is a serious matter distinct from the original concern.<\/li>\r\n<li>The referral decision is made under the section 66(3) two-fold test: a reasonable prospect of proof, plus significant competence\/ethics concerns or a public-protection risk.<\/li>\r\n<li>Facilitated resolution is a binding Agreement and Undertaking (with both parties' consent); its conditions are recorded on your practice permit under section 119.<\/li>\r\n<li>At a hearing the Tribunal is two physiotherapists and two public members, decides on the balance of probabilities, and can order under section 82. Appeals go to Council, then the Court of Appeal.<\/li>\r\n<\/ul>\r\n<\/section>\r\n<section class=\"courses\">\r\n<h2>Related courses<\/h2>\r\n<div class=\"cgrid\">\r\n<a class=\"card\" href=\"https:\/\/healthcareethicscourses.com\/can\/courses\/dealing-with-a-complaint-or-investigation-professionally\/\"><span class=\"ct\">Dealing with a Complaint or Investigation Professionally<\/span><span class=\"cd\">How to engage with an investigator and respond to records requests without unforced errors.<\/span><\/a>\r\n<a class=\"card\" href=\"https:\/\/healthcareethicscourses.com\/can\/courses\/professionalism-and-professional-standards-for-physiotherapists\/\"><span class=\"ct\">Professionalism and Professional Standards for Physiotherapists<\/span><span class=\"cd\">The standards an investigator and the Complaints Director measure your conduct against.<\/span><\/a>\r\n<a class=\"card\" href=\"https:\/\/healthcareethicscourses.com\/can\/courses\/confidentiality-in-healthcare-practice\/\"><span class=\"ct\">Confidentiality in Healthcare Practice<\/span><span class=\"cd\">What you may and must disclose to the College, and where the limits lie.<\/span><\/a>\r\n<a class=\"card\" href=\"https:\/\/healthcareethicscourses.com\/can\/courses\/professional-boundaries-course\/\"><span class=\"ct\">Professional Boundaries<\/span><span class=\"cd\">Physiotherapy is a hands-on profession; boundary concerns are among the most investigated.<\/span><\/a>\r\n<\/div>\r\n<\/section>\r\n<section class=\"nextset\">\r\n<h2>Continue reading<\/h2>\r\n<a href=\"https:\/\/healthcareethicscourses.com\/can\/how-to-respond-to-a-physiotherapy-alberta-complaint\">How to respond to a Physiotherapy Alberta complaint &rarr;<\/a>\r\n<a href=\"https:\/\/healthcareethicscourses.com\/can\/remediation-and-reflection-for-alberta-physiotherapists\">Remediation and reflection for Alberta physiotherapists &rarr;<\/a>\r\n<\/section>\r\n<section class=\"faq\">\r\n<h2>Frequently asked questions<\/h2>\r\n<details><summary>Does an investigation mean the College thinks I am guilty?<\/summary><div class=\"a\"><p>No. An investigation is directed when the Complaints Director needs facts the written response alone cannot settle. It is fact-finding, not a finding of unprofessional conduct. Many investigations end with no referral, sometimes with practice recommendations rather than any formal finding.<\/p><\/div><\/details>\r\n<details><summary>Will the College audit my charts?<\/summary><div class=\"a\"><p>Often, yes. In physiotherapy matters an investigator commonly reviews or randomly audits clinical charts against a specific Standard of Practice, such as documentation and record keeping or consent. This is why keeping complete, standards-compliant records is your best protection well before any complaint arises.<\/p><\/div><\/details>\r\n<details><summary>What is the section 66(3) test for a hearing?<\/summary><div class=\"a\"><p>After investigation, the Complaints Director decides under section 66(3) whether to refer the matter to a hearing. The test is two-fold: there must be a reasonable prospect of proving the allegation before a Hearing Tribunal, and the Director must have significant concerns about your competence or ethics, or see a significant risk to public protection if the alleged practice continues.<\/p><\/div><\/details>\r\n<details><summary>What is facilitated resolution?<\/summary><div class=\"a\"><p>It is a formal, binding Agreement and Undertaking between you and the College that resolves a matter without a hearing, available only where both you and the complainant consent. Its terms are typically similar to what the College would seek at a hearing &mdash; for example reviewing standards, completing an approved course, or undertaking chart reviews &mdash; and are recorded on your practice permit under section 119.<\/p><\/div><\/details>\r\n<details><summary>How long will an investigation take?<\/summary><div class=\"a\"><p>There is no fixed timeframe. A clearly meritless concern may be resolved quickly; a matter requiring a chart audit, interviews, and expert input can take several months, and complex cases longer. Responding promptly and completely to each request is the main thing within your control.<\/p><\/div><\/details>\r\n<details><summary>What happens if my case goes to a Hearing Tribunal?<\/summary><div class=\"a\"><p>The matter becomes a formal hearing before a tribunal of two physiotherapists and two public members. The Complaints Director presents the case and must prove the allegations on the balance of probabilities; you have a statutory right to counsel and should use it. On a finding of unprofessional conduct, the Tribunal makes orders under section 82, appealable to Council and then the Alberta Court of Appeal.<\/p><\/div><\/details>\r\n<\/section>\r\n<p class=\"disc\">This guide explains the professional conduct process of the College of Physiotherapists of Alberta (CPTA), the regulator formerly known as Physiotherapy Alberta &ndash; College + Association, under the Health Professions Act. It is provided for general information for registered physiotherapists in Alberta and is not legal advice. If you are the subject of a complaint or investigation, contact your professional liability insurer and, where the matter is serious, a lawyer who practises regulatory defence under the Health Professions Act. Last updated July 14, 2026.<\/p>\r\n<\/article>\r\n<script type=\"application\/ld+json\">\r\n{\r\n  \"@context\": \"https:\/\/schema.org\",\r\n  \"@graph\": [\r\n    {\r\n      \"@type\": \"Article\",\r\n      \"headline\": \"What happens during a Physiotherapy Alberta investigation?\",\r\n      \"description\": \"A physiotherapist's guide to a College of Physiotherapists of Alberta (Physiotherapy Alberta) investigation under the Health Professions Act: the investigator's powers, chart audits, the section 66(3) referral test, and where it can end.\",\r\n      \"inLanguage\": \"en-CA\",\r\n      \"datePublished\": \"2026-07-14\",\r\n      \"dateModified\": \"2026-07-14\",\r\n      \"author\": {\r\n        \"@type\": \"Person\",\r\n        \"name\": \"Dr Shehzad Iqbal\"\r\n      },\r\n      \"publisher\": {\r\n        \"@type\": \"Organization\",\r\n        \"name\": \"Healthcare Ethics Courses\",\r\n        \"url\": \"https:\/\/healthcareethicscourses.com\/can\/\"\r\n      },\r\n      \"mainEntityOfPage\": {\r\n        \"@type\": \"WebPage\",\r\n        \"@id\": \"https:\/\/healthcareethicscourses.com\/can\/knowledge-support\/physiotherapists\/alberta\/investigation\/\"\r\n      },\r\n      \"url\": \"https:\/\/healthcareethicscourses.com\/can\/knowledge-support\/physiotherapists\/alberta\/investigation\/\",\r\n      \"about\": \"The College of Physiotherapists of Alberta investigation process\"\r\n    },\r\n    {\r\n      \"@type\": \"BreadcrumbList\",\r\n      \"itemListElement\": [\r\n        {\r\n          \"@type\": \"ListItem\",\r\n          \"position\": 1,\r\n          \"name\": \"Knowledge & Support\",\r\n          \"item\": \"https:\/\/healthcareethicscourses.com\/can\/knowledge-support\/\"\r\n        },\r\n        {\r\n          \"@type\": \"ListItem\",\r\n          \"position\": 2,\r\n          \"name\": \"Physiotherapists \u2014 Alberta\",\r\n          \"item\": \"https:\/\/healthcareethicscourses.com\/can\/knowledge-support\/physiotherapists\/alberta\/\"\r\n        },\r\n        {\r\n          \"@type\": \"ListItem\",\r\n          \"position\": 3,\r\n          \"name\": \"What happens during a Physiotherapy Alberta investigation?\",\r\n          \"item\": \"https:\/\/healthcareethicscourses.com\/can\/knowledge-support\/physiotherapists\/alberta\/investigation\/\"\r\n        }\r\n      ]\r\n    },\r\n    {\r\n      \"@type\": \"FAQPage\",\r\n      \"mainEntity\": [\r\n        {\r\n          \"@type\": \"Question\",\r\n          \"name\": \"Does an investigation mean the College thinks I am guilty?\",\r\n          \"acceptedAnswer\": {\r\n            \"@type\": \"Answer\",\r\n            \"text\": \"No. An investigation is directed when the Complaints Director needs facts the written response alone cannot settle. 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