RMTs/MTs working solo or in home-based settings must meet the same professional, ethical, and regulatory expectations as those in larger clinics to protect patient safety and uphold appropriate professional boundaries.

To support safe and compliant practice, RMTs/MTs should ensure the following key requirements are consistently met:

• Maintaining a safe practice environment: A private, professional treatment area separate from personal living space, or other spaces that are not part of the practice.
• Practising proper infection control: Proper cleaning, disinfecting, and linen management consistent with Public Health Ontario and CMTO standards. For example, laundry for the practice should be washed and handled separately from family items.
• Ensuring patient privacy: Secure storage of records and sound privacy during treatments. Patient information, including names and contact information, must not be accessible to unauthorized people (i.e., including other people living in the home).
• Accurate record keeping: Accurate, complete, and securely stored clinical and financial records.
• Managing risks: Clear procedures, accessible exits, appropriate lighting to allow for privacy and safety, relevant documentation (equipment/maintenance log) and suitable first aid resources.
• Meeting all business compliance requirements: Appropriate insurance, municipal licensing, and adherence to Accessibility for Ontarians with Disabilities Act (AODA).

For further guidance, RMTs/MTs are encouraged to consult the Guide to Record Keeping, Infection Prevention and Control (Standard), Professional Boundaries (Standard), Safety and Risk Management (Standard), Accessibility for Ontarians with Disabilities Act, 2005 and email the Practice Specialist at practicespecialist@cmto.com.