CMTO Refresher Course Overview
December 2025
The CMTO Refresher Course ensures applicants and RMTs/MTs returning to practice have the current knowledge and skills for safe, effective care.
Who must take the Refresher Course?
You need to complete a Refresher Course if you are:
- A registrant moving from an Inactive to a General Certificate
- A General Certificate holder who cannot declare 500 hours of practice in the last three years
- An applicant who graduated from a Massage Therapy education program longer than three years ago
- Directed to do so by a CMTO Statutory Committee
What does the course involve?
The course has two mandatory components:
- An online Jurisprudence Program (on-demand)
- Tutoring with a CMTO-Approved Tutor, which must be completed within six months of the Jurisprudence Program
What are the course categories?
- Category 1 General registrants who have not practiced the minimum 500 hours within three years or Inactive/former registrants who have not held a General Certificate for up to three years and cannot meet the minimum 500 hours practice hours: 5-8 hours of remote tutoring.
- Category 2 (Inactive for 3-15 years or a new applicant): 10-15 hours of tutoring (minimum three hours in-person)
- Category 3 (Inactive for over 15 years): Requirements are determined by the Registration Committee
Upon completing the tutoring, the course is valid for 15 months. There is no fee for the Jurisprudence Program, but participants negotiate and pay tutoring fees directly to their tutor.
For full details, review the Refresher Course Policy and Refresher Course Guide on the CMTO website.