Individual Signup Please confirm if you wish to cancel the application Please click on the link and review the OTN Terms of Service before confiming MOHLTC: Ministry of Health and Long-Term Care LHIN: Local Health Integration Network OHIP: Ontario Health Insurance Plan Regulated healthcare professionals NOT in nursing or medicine eVisit: Videoconferencing with patients or for education events and meetings eConsult: peer to peer consultation and collaboration Scheduling: a value added service that supports Personal Videoconferencing and Room Based video events. Private Practice Signup OTNhub.ca offers healthcare providers a single "go-to" online community to connect and collaborate with their patients and peers from anywhere in Ontario, at anytime. Funding Profession Profile Delegation Submission Thank You * Indicates required field Tell us about your funding model I receive 50% or more of my funding from MOHLTC, LHIN or OHIP on an annual basis. I receive less than 50% of my funding from MOHTLC, LHIN or OHIP on an annual basis. Please read and agree to the following statements: Fees: I confirm that I have reviewed the OTNhub Service Plans, understand and accept the fees associated with the use of OTNhub services. Fees: I confirm that I have reviewed the OTNhub Service Plans, understand and accept the $875 annual and $175 one-time setup fees associated with the use of OTNhub services. Terms of Service: I confirm that I have reviewed and understood the OTN Terms of Service, and I have the authority to bind the organization. Cancel Next Error: What is your profession? Physician Nurse Practitioner Nurse Allied Healthcare Professional Midwife Please select your profession Basic Information Business Email Professional Registration Number Validate Your information is being retrieved Please wait while we retry retrieving your information... There seems to be an issue retrieving your information. Please enter your information manually to proceed with your signup. Registered with - Please select - Board of Directors of Drugless Therapy – Naturopathy College of Audiologists and Speech-Language Pathologists of Ontario College of Chiropodists of Ontario College of Chiropractors of Ontario College of Dental Hygienists of Ontario College of Dental Technologists of Ontario College of Denturists of Ontario College of Dietitians of Ontario College of Massage Therapists of Ontario College of Medical Laboratory Technologists of Ontario College of Medical Radiation Technologists of Ontario College of Midwives of Ontario College of Nurses of Ontario College of Occupational Therapists of Ontario College of Opticians of Ontario College of Optometrists of Ontario College of Physiotherapists of Ontario College of Psychologists of Ontario College of Physicians and Surgeons of Ontario College of Respiratory Therapists of Ontario Ontario College of Pharmacists Ontario College of Social Workers and Social Service Workers Royal College of Dental Surgeons of Ontario Other Legal First Name Legal Last Name Middle Initial Preferred First Name Preferred Last Name Legal Business Name Cancel Back Next Telemedicine practice related information OTN is now a part of Ontario Health (OH). OH requests business contact information during the OTNhub sign-up process. OH uses this information to support onboarding, validation and account management. Your business contact info may be provided/published to the Directory, program delivery partners, other OTNhub member organizations, and OTNhub users to support account management or to respond to virtual care coordination questions. In certain situations, it may be disclosed to patients who call OH with non-technical questions about specific virtual care events for your organization. Postal Code Registered Primary Practice Address Other Enter registered primary practice address City Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon LHIN - Please select - 1 - Erie St. Clair 2 - South West 3 - Waterloo Wellington 4 - Hamilton Niagara Haldimand Brant 5 - Central West 6 - Mississauga Halton 7 - Toronto Central 8 - Central 9 - Central East 10 - South East 11 - Champlain 12 - North Simcoe Muskoka 13 - North East 14 - North West Business Phone Ext Business Fax Clinical Specialty - Please select - Anaesthesiology Anatomical Pathology Cardiac Surgery Cardiology Cardiothoracic Surgery Clinical Immunology and Allergy Clinical Pharmacology Colorectal Surgery Community Medicine Critical Care Medicine Dermatology Diagnostic Radiology Emergency Medicine Endocrinology and Metabolism Family / General Practice Medicine Gastroenterology General Pathology General Surgery General Surgical Oncology Geriatric Medicine Gynecologic Oncology Gynecologic Reproductive Endocrinology and Infertility Hematological Pathology Hematology Infectious Diseases Internal Medicine Maternal Fetal Medicine Medical Biochemistry Medical Genetics Medical Microbiology Medical Oncology Neonatal-Perinatal Medicine Nephrology Neurology Neuropathology Neuroradiology Neurosurgery Nuclear Medicine Obstetrics and Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Palliative Medicine Pediatrics Pediatric Anaesthesiology Pediatric Cardiac Surgery Pediatric Cardiology Pediatric Cardiothoracic Surgery Pediatric Dermatology Pediatric Development Pediatric Endocrinology and Metabolism Pediatric Gastro-Enterology Pediatric General Surgery Pediatric Hematology Pediatric Immunology and Allergy Pediatric Nephrology Pediatric Neurology Pediatric Neurosurgery Pediatric Ophthalmology Pediatric Orthopedic Surgery Pediatric Otolaryngology Pediatric Plastic Surgery Pediatric Psychiatry Pediatric Radiology Pediatric Respirology Pediatric Rheumatology Pediatric Thoracic Surgery Pediatric Urology Pediatric Vascular Surgery Physical Medicine and Rehabilitation Plastic Surgery Psychiatry Radiation Oncology Respirology Rheumatology Thoracic Surgery Trauma Medicine Urogynaecology Urology Vascular Surgery Other - Please select - Alternative Healing Therapy Assistant Occupational Therapy Assistant Physiotherapy Assistant Therapy Audiology CAN/RNA/LPN/RPN Nursing Cast Technology Chipodiatry Chiropractry Dental Hygiene Technology Dental Surgery Dentistry Dentistry Group Denturology ECG Technology Endodontistry Home Support/Care Work Therapy Kinesiology Lab Technology Language Interpretation Therapy Massage Therapy Medical Physics Midwifery Naturopathy Nuclear Medicine Technology Nurse Aide/Healthcare Aide Nursing Nurse Practitioner (stored as Profession Classification) Nursing Group Nutritional Therapy Occupational Therapy Optometry Oral Pathology Oral Radiology Oral Surgery Ortho/Prosthetic Therapy Orthodontistry Orthotics Osteopathy Paedodontistry Pediatric Dentistry Pediatric Oral Surgery Periodontistry Pharmacy Pharmacy Assistant Service Physician's Assistant Service Physiotherapy Podiatry Podiatry/Chiropody Group Prosthetics Psychology Psychotherapy Radiotherapy Recreation Therapy Rehabilitation Counseling Therapy Rehabilitation Engineering Therapy Rehabilitation Therapy Respiratory Therapy RN (stored as Profession Classification) RPN (stored as Profession Classification) Social Work Speech Language Pathology Spiritual Counseling Therapy Technician Group Technician Ophthalmology Therapy Group Vocational Rehab Counseling Therapy X-ray Technology Other Clinical Specialty Text Registered with - Please select - Board of Directors of Drugless Therapy – Naturopathy College of Audiologists and Speech-Language Pathologists of Ontario College of Chiropodists of Ontario College of Chiropractors of Ontario College of Dental Hygienists of Ontario College of Dental Technologists of Ontario College of Denturists of Ontario College of Dietitians of Ontario College of Massage Therapists of Ontario College of Medical Laboratory Technologists of Ontario College of Medical Radiation Technologists of Ontario College of Midwives of Ontario College of Nurses of Ontario College of Occupational Therapists of Ontario College of Opticians of Ontario College of Optometrists of Ontario College of Physicians and Surgeons of Ontario College of Physiotherapists of Ontario College of Psychologists of Ontario College of Respiratory Therapists of Ontario Ontario College of Pharmacists Ontario College of Social Workers and Social Service Workers Royal College of Dental Surgeons of Ontario Other Registered with Text Nurse Category - Please select - Nurse Practitioner (NP) - Please select - Registered Nurse (RN) Registered Practical Nurse (RPN) OHIP Billing Number Are you applying for additional OTN Services? Telederm Emergency Service Telestroke Intensive Care Teleburn Other What service would you like to get started with? - Please select - eVisit eConsult Scheduling Telederm Home video visits Specialists and Services Directory - Please select - eVisit Scheduling Do you have a ONE® ID account? Yes No Your ONE® ID username Partner code Validate Your information is being validated Identity Authentication A representative from Ontario Health will contact you to set up an appointment to complete the identity validation and set up your ONE ID account. Click here to read more information about ONE ID. Preferred Appointment Time - Select a time - 7:00 a.m. 7:30 a.m. 8:00 a.m. 8:30 a.m. 9:00 a.m. 9:30 a.m. 10:00 a.m. 10:30 a.m. 11:00 a.m. 11:30 a.m. 12:00 p.m. 12:30 p.m. 1:00 p.m. 1:30 p.m. 2:00 p.m. 2:30 p.m. 3:00 p.m. 3:30 p.m. 4:00 p.m. 4:30 p.m. 5:00 p.m. 5:30 p.m. Alternative Appointment Time - Select a time - 7:00 a.m. 7:30 a.m. 8:00 a.m. 8:30 a.m. 9:00 a.m. 9:30 a.m. 10:00 a.m. 10:30 a.m. 11:00 a.m. 11:30 a.m. 12:00 p.m. 12:30 p.m. 1:00 p.m. 1:30 p.m. 2:00 p.m. 2:30 p.m. 3:00 p.m. 3:30 p.m. 4:00 p.m. 4:30 p.m. 5:00 p.m. 5:30 p.m. Cancel Back Next Do you wish to authorize and delegate someone to access and manage your OTNhub service for you? The delegation refers to administrative delegation only. You can authorize a user, such as a clinic administrator or nurse, to access and manage specific activities related to your OTNhub services on your behalf. Any user acting under your authority and on your behalf must also register with ONE® ID before accessing your OTN Products and Services. Assign a delegate? Yes No Please provide the delegation authority's information: Legal First Name Legal Last Name Email Phone Number Ext Identity Authentication Authentication of your identity is required for privacy and security purposes. Please provide two time options in the next 2-5 business days (Monday-Friday, 8:00 a.m. - 5:00 p.m.) for this 15 minute validation appointment to occur by videoconference. Preferred Appointment Time - Select a time - 7:00 a.m. 7:30 a.m. 8:00 a.m. 8:30 a.m. 9:00 a.m. 9:30 a.m. 10:00 a.m. 10:30 a.m. 11:00 a.m. 11:30 a.m. 12:00 p.m. 12:30 p.m. 1:00 p.m. 1:30 p.m. 2:00 p.m. 2:30 p.m. 3:00 p.m. 3:30 p.m. 4:00 p.m. 4:30 p.m. 5:00 p.m. 5:30 p.m. Alternative Appointment Time - Select a time - 7:00 a.m. 7:30 a.m. 8:00 a.m. 8:30 a.m. 9:00 a.m. 9:30 a.m. 10:00 a.m. 10:30 a.m. 11:00 a.m. 11:30 a.m. 12:00 p.m. 12:30 p.m. 1:00 p.m. 1:30 p.m. 2:00 p.m. 2:30 p.m. 3:00 p.m. 3:30 p.m. 4:00 p.m. 4:30 p.m. 5:00 p.m. 5:30 p.m. To add additional delegates please contact us at 1-855-654-0888 and select option 3 Cancel Back Next Error: Please review and confirm your information: Funding Model Edit Cancel Funding: Fees: Terms of Service: Profession Basic Information Edit Cancel Telemedicine Practice Profile Edit Cancel Delegation of Authority Edit Cancel Give my staff the ability to schedule If you would like your administrators, office staff, or colleagues to schedule video visit events on your behalf, you'll be prompted at first log in to add new users to your practice. By completing this form, you give OTN permission to collect, use and disclose information for the purpose of processing your application and administering the services provided in OTNhub. For questions regarding OTN's privacy practices, please contact privacy@otn.ca. This form may contain confidential information and its contents should not be distributed, copied or disclosed to any unauthorized persons. If you have accessed a completed form in error, please contact OTN at 1.855.654.0888. Communication Preference I consent to receive email communications from OTN about member news, events, surveys, and information about OTN’s programs, services, and related activities. – You can update your preferences and/or unsubscribe at any time here. – Please note, as part of your membership agreement with OTN, you will receive operational notices that pertain to your services. Please refer to our Privacy Statement for more details. Thank you. Please check Captcha. This may take up to 5 minutes. Please do not refresh the browser, use its back functionality, or close the browser until you receive a confirmation message. Cancel Apply ONE® ID Validation OTN Provisioning Account Activation Thank you for submitting your application for the OTNhub. It’s important that you don’t attempt to get your ONE® ID from another source or attempt to login while we work on your application. Ontario Health ONE® ID Validation Ontario Health will contact you with instructions on how to obtain your ONE® ID. First-time Log In and Account Activation Once you receive your ONE® ID credentials, OTN will process your application and within 2-3 business days send you an email with instructions on how to sign in to the OTNhub. Please wait approximately 10 minutes for us to setup your account, then login and begin using the OTNhub. Please do not attempt to log in to the OTNhub until we’ve sent you instructions. Ontario Health ONE® ID Validation A ONE® ID Local Registration Agent (LRA) will contact you by email to confirm your appointment and provide the details to complete your identity validation via videoconference. Once completed, you will receive a ONE® ID username and password. OTN Provisioning Once you receive your ONE® ID credentials, OTN will process your application for the OTNhub within 1-2 business days. First-time Log In OTN will send you an email with instructions on how to sign in to the OTNhub with your ONE® ID credentials, when your application has been processed. You must sign in to the OTNhub to activate your services. If there are questions or concerns please contact us at serviceactivation@otn.ca or call us at 1-855-654-0888. Back to Home Are you sure you want to cancel? Please confirm if you wish to cancel this action No Yes
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