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As from November 21, 2024, the following are imposed as terms, conditions and limitations on the certificate of registration held by Dr. Laferriere in accordance with an undertaking and consent given by Dr. Laferriere to the College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
(“Undertaking”)
of
DR. JOSEPH RAYMOND GILLES ARTHUR LAFERRIERE
(“Dr. Laferriere”)
to
COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO
(the “College”)
________________________________________
A. PREAMBLE
(1) In this Undertaking:
“Code” means the Health Professions Procedural Code, which is Schedule 2 to the Regulated Health Professions Act, 1991, S.O. 1991, c. 18, as amended;
“Discipline Tribunal” means the Ontario Physicians and Surgeons Discipline Tribunal of the College;
“ICR Committee” means the Inquiries, Complaints and Reports Committee of the College;
“NMS” means the Drug Program Services Branch, the Narcotics Monitoring System implemented under the Narcotics Safety and Awareness Act, 2010, S.O. 2010, c. 22, as amended;
“OHIP” means the Ontario Health Insurance Plan;
“Ontario Physicians and Surgeons Discipline Tribunal” means the Discipline Committee established under the Code;
“Public Register” means the College’s register that is available to the public.
(2) I, Dr. Laferriere, certificate of registration number 33396, am a member of the College.
(3) I, Dr. Laferriere, acknowledge that I entered into an undertaking with the College on November 27, 1995 (“the 1995 Undertaking”), which was replaced by a new undertaking dated September 30, 2019 (“the 2019 Undertaking”). Once signed, this Undertaking replaces and supersedes the 2019 Undertaking.
B. UNDERTAKING
(4) I, Dr. Laferriere, undertake to abide by the provisions of this Undertaking, effective immediately.
(5) Practice Restrictions
(a) I, Dr. Laferriere, undertake that I will not issue new prescriptions or renew existing prescriptions for, or administer:
(i) Narcotic Drugs (from the Narcotic Control Regulations made under the Controlled Drugs and Substances Act, S.C., 1996, c. 19);
(ii) Narcotic Preparations (from the Narcotic Control Regulations made under the Controlled Drugs and Substances Act, S.C., 1996, c. 19);
(iii) Controlled Drugs (from Part G of the Food and Drug Regulations under the Food and Drugs Act, S.C. 1985, c. F-27);
(iv) Benzodiazepines and Other Targeted Substances (from the Benzodiazepines and Other Targeted Substances Regulations made under the Controlled Drugs and Substances Act, S.C., 1996, c. 19);
(A summary of the above-named drugs [from Appendix I to the Compendium of Pharmaceuticals and Specialties] is attached hereto as Appendix “A”; and links to the current regulatory lists are attached hereto as Appendix “B”)
(v) Monitored Drugs (as defined under the Narcotics Safety and Awareness Act, 2010, S.O. 2010, c. 22, with a link to the current regulatory list attached hereto as Appendix “C”;
as amended from time to time, subject to the following exceptions:
1. I, Dr. Laferriere, may prescribe Narcotic Drugs, Narcotic Preparations, Controlled Drugs, Benzodiazepines and Other Targeted Substances, or Monitored Drugs to patients residing in a long-term care, retirement, or rehabilitation facility; and
2. I, Dr. Laferriere, may prescribe up to a one month supply of Narcotic Drugs, Narcotic Preparations, Controlled Drugs, Benzodiazepines and Other Targeted Substances, or Monitored Drugs to patients being released from a long-term care, retirement or rehabilitation facility.
(6) Monitoring
(a) I, Dr. Laferriere, undertake to inform the College of each and every location at which I practice, delegate, or have privileges, including, but not limited to, any hospitals, clinics, offices, and any Out-of-Hospital Premises and Independent Health Facilities with which I am affiliated, in any jurisdiction (collectively my “Practice Location” or “Practice Locations”), within five (5) days of executing this Undertaking. Going forward, I further undertake to inform the College of any and all new Practice Locations within five (5) days of commencing practice at that location.
(b) I, Dr. Laferriere, give my irrevocable consent to the College to make appropriate enquiries of OHIP, NMS, and/or any person who or institution that may have relevant information, in order for the College to monitor my compliance with the provisions of this Undertaking.
(c) I, Dr. Laferriere, acknowledge that I have executed the OHIP and NMS consent forms, attached hereto as Appendix “D” and “E”, respectively.
(d) I, Dr. Laferriere, undertake that I will submit to, and not interfere with, unannounced inspections of my Practice Locations and patient charts by a College representative for the purposes of monitoring my compliance with the provisions of this Undertaking.
C. ACKNOWLEDGEMENT
(7) I, Dr. Laferriere, acknowledge that all appendices attached to or referred to in this Undertaking form part of this Undertaking.
(8) I, Dr. Laferriere, acknowledge and undertake that I shall be solely responsible for payment of all fees, costs, charges, expenses, etc. arising from the implementation of any of the provisions of this Undertaking.
(9) I, Dr. Laferriere, acknowledge that I have read and understand the provisions of this Undertaking and that I have obtained independent legal counsel in reviewing and executing this Undertaking, or have waived my right to do so.
(10) I, Dr. Laferriere, acknowledge that the College will provide this Undertaking to any Chief of Staff, or a colleague with similar responsibilities, at any Practice Location (“Chief of Staff” or “Chiefs of Staff”).
(11) I, Dr. Laferriere, acknowledge that a breach by me of any provision of this Undertaking may constitute an act of professional misconduct and/or incompetence, and may result in a referral of specified allegations to the Discipline Tribunal.
(12) I, Dr. Laferriere, acknowledge that this Undertaking constitutes terms, conditions, and limitations on my certificate of registration for the purposes of section 23 of the Code.
(13) Public Register
(a) I, Dr. Laferriere, acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.
(b) I, Dr. Laferriere, acknowledge that, in addition to this Undertaking being posted in accordance with section (13)(a) above, the following summary shall be posted on the Public Register during the time period that this Undertaking remains in effect:
Dr. Laferriere must not issue new prescriptions or renew existing prescriptions for or administer Narcotic Drugs, Narcotic Preparations, Controlled Drugs, Benzodiazepines and Other Targeted Substances, or Monitored Drugs, subject to the following exceptions:
Dr. Laferriere may prescribe Narcotic Drugs, Narcotic Preparations, Controlled Drugs, Benzodiazepines and Other Targeted Substances, or Monitored Drugs to patients residing in a long-term care, retirement, or rehabilitation facility; and
Dr. Laferriere may prescribe up to a one month supply of Narcotic Drugs, Narcotic Preparations, Controlled Drugs, Benzodiazepines and Other Targeted Substances, or Monitored Drugs to patients being released from a long-term care, retirement or rehabilitation facility.
D. CONSENT
(14) I, Dr. Laferriere, give my irrevocable consent to the College to provide all Chiefs of Staff with any information the College has that led to the circumstances of my entering into this Undertaking and/or any information arising from the monitoring of my compliance with this Undertaking.
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As from February 1st, 2023, the following are imposed as terms, conditions and limitations on the certificate of registration held by Dr. Laferriere in accordance with an undertaking and consent given by Dr. Laferriere to the College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
(“Undertaking”)
of
DR. JOSEPH RAYMOND GILLES ARTHUR LAFERRIERE
(“Dr. Laferriere”)
to
COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO
(the “College”)
________________________________________
A. PREAMBLE
(1) In this Undertaking:
“Code” means the Health Professions Procedural Code, which is Schedule 2 to the Regulated Health Professions Act, 1991, S.O. 1991, c. 18, as amended;
“Discipline Tribunal” means the Ontario Physicians and Surgeons Discipline Tribunal of the College;
“OHIP” means the Ontario Health Insurance Plan;
“Ontario Physicians and Surgeons Discipline Tribunal” means the Discipline Committee established under the Code;
“Public Register” means the College’s register that is available to the public.
(2) I, Dr. Laferriere, certificate of registration number 33396, am a member of the College.
(3) I, Dr. Laferriere, acknowledge that the College conducted an investigation bearing File Number CAS-367541-X6G7P8 (the “Investigation”) into my general medicine practice.
B. UNDERTAKING
(4) I, Dr. Laferriere, undertake to abide by the provisions of this Undertaking, effective immediately.
(5) Practice Restrictions
(a) I, Dr. Laferriere, undertake to restrict my practice as follows:
(i) I will not provide medical exemptions in relation to vaccines for COVID-19;
(ii) I will not provide medical exemptions in relation to mask requirements for COVID-19;
(iii) I will not provide medical exemptions in relation to diagnostic testing for COVID-19;
(iv) I will not prescribe colchicine or hydroxychloroquine in relation to COVID-19; and
(v) I will not prescribe ivermectin.
(6) Posting a Sign
(a) I, Dr. Laferriere, undertake that I shall post a sign in all waiting rooms, examination rooms and consulting rooms, in all my Practice Locations, in a clearly visible and secure location, at all times whether or not I am physically present at the Practice Location, in the form set out at Appendix “A.” If providing care in a virtual setting, I shall display the sign to the patient at the outset of the patient encounter. For further clarity, this sign shall state as follows: “Dr. Laferriere must not provide medical exemptions in relation to vaccines, mask requirements or diagnostic testing for COVID-19. Dr. Laferriere must not prescribe colchicine or hydroxychloroquine in relation to COVID-19. Dr. Laferriere must not prescribe ivermectin. Further information may be found on the College of Physicians and Surgeons of Ontario website at www.cpso.on.ca”.
(b) I, Dr. Laferriere, undertake to post a certified translation in any language in which I provide services, of the sign described in section (6)(a) in all waiting rooms of all my Practice Locations, in a clearly visible and secure location, in the form set out at Appendix “A.”
(c) I, Dr. Laferriere, undertake to provide the certified translation described in section (6)(b), to the College within thirty (30) days of executing this Undertaking.
(d) I, Dr. Laferriere, undertake that if I elect, after the execution of this Undertaking, to provide services in any other language, I will notify the College prior to providing any such services.
(e) I, Dr. Laferriere, undertake to provide to the College the certified translation described in section (6)(b) prior to beginning to provide services in any language described in section (6)(d).
(7) Monitoring
(a) I, Dr. Laferriere, undertake to inform the College of each and every location at which I practice, delegate, or have privileges, including, but not limited to, any hospitals, clinics, offices, and any Out-of-Hospital Premises and Independent Health Facilities with which I am affiliated, in any jurisdiction (collectively my “Practice Location” or “Practice Locations”), within five (5) days of executing this Undertaking. Going forward, I further undertake to inform the College of any and all new Practice Locations within five (5) days of commencing practice at that location.
(b) I, Dr. Laferriere, give my irrevocable consent to the College to make appropriate enquiries of OHIP, and/or any person who or institution that may have relevant information, in order for the College to monitor my compliance with the provisions of this Undertaking.
(c) I, Dr. Laferriere, acknowledge that I have executed the OHIP consent form, attached hereto as Appendix “B”.
(d) I, Dr. Laferriere, undertake that I will submit to, and not interfere with, unannounced inspections of my Practice Locations and patient charts by a College representative for the purposes of monitoring my compliance with the provisions of this Undertaking.
C. ACKNOWLEDGEMENT
(8) I, Dr. Laferriere, acknowledge that all appendices attached to or referred to in this Undertaking form part of this Undertaking.
(9) I, Dr. Laferriere, acknowledge and undertake that I shall be solely responsible for payment of all fees, costs, charges, expenses, etc. arising from the implementation of any of the provisions of this Undertaking.
(10) I, Dr. Laferriere, acknowledge that I have read and understand the provisions of this Undertaking and that I have obtained independent legal counsel in reviewing and executing this Undertaking, or have waived my right to do so.
(11) I, Dr. Laferriere, acknowledge that the College will provide this Undertaking to any Chief of Staff, or a colleague with similar responsibilities, at any Practice Location (“Chief of Staff” or “Chiefs of Staff”).
(12) I, Dr. Laferriere, acknowledge that a breach by me of any provision of this Undertaking may constitute an act of professional misconduct and/or incompetence, and may result in a referral of specified allegations to the Discipline Tribunal.
(13) I, Dr. Laferriere, acknowledge that this Undertaking constitutes terms, conditions, and limitations on my certificate of registration for the purposes of section 23 of the Code.
(14) Public Register
(a) I, Dr. Laferriere, acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.
(b) I, Dr. Laferriere, acknowledge that, in addition to this Undertaking being posted in accordance with section (14)(a) above, the following summary shall be posted on the Public Register during the time period that this Undertaking remains in effect:
A College investigation was conducted into Dr. Laferriere’s general medicine practice. As a result of the investigation:
Dr. Laferriere will not provide medical exemptions in relation to vaccines for COVID-19;
Dr. Laferriere will not provide medical exemptions in relation to mask requirements for COVID-19;
Dr. Laferriere will not provide medical exemptions in relation to diagnostic testing for COVID-19;
Dr. Laferriere will not prescribe colchicine or hydroxychloroquine in relation to COVID-19; and
Dr. Laferriere will not prescribe ivermectin.
D. CONSENT
(15) I, Dr. Laferriere, give my irrevocable consent to the College to provide all Chiefs of Staff with any information the College has that led to the circumstances of my entering into this Undertaking and/or any information arising from the monitoring of my compliance with this Undertaking.
Terms and conditions imposed on certificate by: Executive Committee