(1 of 2)
As from May 22, 2026, the following are imposed as terms, conditions and limitations on the certificate of registration held by Dr. Alireza Shakib in accordance with an undertaking and consent given by Dr. Shakib to the College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
(“Undertaking”)
of
DR. ALIREZA SHAKIB
(“Dr. Shakib”)
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;
“ICRC” means the Inquiries, Complaints and Reports Committee of the College;
“OHIP” means the Ontario Health Insurance Plan;
“Ontario Physicians and Surgeons Discipline Tribunal” means the Discipline Committee established under the Code;
“Practice Location” or “Practice Locations” means each and every location at which Dr. Shakib practises, delegates, or has privileges, including, but not limited to, any hospitals, clinics, offices, and any Out-of-Hospital Premises and Independent Health Facilities with which he is affiliated, in any jurisdiction;
“Public Register” means the College’s register that is available to the public.
(2) I, Dr. Shakib, certificate of registration number 92200, am a member of the College.
(3) I, Dr. Shakib, acknowledge that the College conducted investigations bearing File Numbers CAS-480483-Y1Q4F9 and CAS-431917-N9T8Z0 (the “Investigations”) into whether I engaged in professional misconduct and/or am incompetent in my family medicine practice, including in relation to my completion of Special Diet Allowance Application Forms.
(4) I, Dr. Shakib, acknowledge that, in addition to accepting this Undertaking, the ICRC will also require me to appear before a panel of the ICRC to be cautioned.
B. UNDERTAKING
(5) I, Dr. Shakib, undertake to abide by the provisions of this Undertaking, effective immediately.
(6) Practice Restrictions
(a) I, Dr. Shakib, undertake that I shall not complete any Special Diet Allowance Application Forms.
(7) Posting a Sign
(a) I, Dr. Shakib, 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. If the patient encounter is by telephone, I shall read the sign to the patient at the outset of the patient encounter. For further clarity, this sign shall state as follows: “Dr. Shakib must not complete any Special Diet Allowance Application Forms. Further information may be found on the College of Physicians and Surgeons of Ontario website at www.cpso.on.ca”.
(b) I, Dr. Shakib, undertake to post a certified translation in any language in which I provide services, of the sign described in section (7)(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. Shakib, undertake to provide the certified translation described in section (7)(b), to the College within thirty (30) days of executing this Undertaking.
(d) I, Dr. Shakib, 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. Shakib, undertake to provide to the College the certified translation described in section (7)(b) prior to beginning to provide services in any language described in section (7)(d).
(8) Monitoring
(a) I, Dr. Shakib, undertake to inform the College of each and every one of my 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. Shakib, 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) I, Dr. Shakib, 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.
(d) I, Dr. Shakib, acknowledge that I have executed the OHIP consent form, attached hereto as Appendix “B”.
C. ACKNOWLEDGEMENT
(9) I, Dr. Shakib, acknowledge that all appendices attached to or referred to in this Undertaking form part of this Undertaking.
(10) I, Dr. Shakib, 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.
(11) I, Dr. Shakib, 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.
(12) I, Dr. Shakib, 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”).
(13) I, Dr. Shakib, 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.
(14) I, Dr. Shakib, acknowledge that this Undertaking constitutes terms, conditions, and limitations on my certificate of registration for the purposes of section 23 of the Code.
(15) Public Register
(a) I, Dr. Shakib, acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.
(b) I, Dr. Shakib, acknowledge that, in addition to this Undertaking being posted in accordance with section (15)(a) above, the following summary shall be posted on the Public Register during the time period that this Undertaking remains in effect:
College investigations were conducted into whether Dr. Shakib engaged in professional misconduct and/or is incompetent in his family medicine practice, including in his completion of Special Diet Allowance Form Applications. As a result of the investigations, Dr. Shakib must not complete any Special Diet Allowance Application Forms.
Dr. Shakib shall post a clearly visible sign in the waiting rooms, examination rooms and consulting rooms of all Practice Locations, which states as follows: “Dr. Shakib must not complete any Special Diet Allowance Application Forms. Further information may be found on the College of Physicians and Surgeons of Ontario website at www.cpso.on.ca”.
D. CONSENT
(16) I, Dr. Shakib, 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.
(17) I, Dr. Shakib, give my irrevocable consent to all Chiefs of Staff to disclose to the College, and to one another, any information relevant to this Undertaking and/or relevant for the purposes of monitoring my compliance with this undertaking.
(2 of 2)
As from May 19, 2026, the following is imposed as a term, condition and limitation on the certificate of registration held by Dr. Alireza Shakib in accordance with an undertaking and consent given by Dr. Shakib to the College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
(“Undertaking”)
of
DR. ALIREZA SHAKIB
(“Dr. Shakib”)
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;
“ICRC” means the Inquiries, Complaints and Reports Committee of the College;
“IEP” means Individualized Education Plan;
“MOHLTC” means the Ministry of Health and Long-Term Care (Ontario);
“NMS” means the Drug Program Services Branch, the Narcotics Monitoring System implemented under the Narcotics Safety and Awareness Act, 2010;
“OHIP” means the Ontario Health Insurance Plan;
“Ontario Physicians and Surgeons Discipline Tribunal” means the Discipline Committee established under the Code;
“Practice Location” or “Practice Locations” means each and every location at which Dr. Shakib practises, delegates, or has privileges, including, but not limited to, any hospitals, clinics, offices, and any Out-of-Hospital Premises and Independent Health Facilities with which he is affiliated, in any jurisdiction;
“Public Register” means the College’s register that is available to the public.
(2) I, Dr. Shakib, certificate of registration number 92200, am a member of the College.
(3) I, Dr. Shakib, acknowledge that the College conducted investigations bearing File Numbers CAS-480483-Y1Q4F9 and CAS-431917-N9T8Z0 (the “Investigations”) into whether I engaged in professional misconduct and/or am incompetent in my family medicine practice, including in relation to my completion of Special Diet Allowance Application Forms, my prescribing of narcotics, and my billing practices.
(4) I, Dr. Shakib, acknowledge that, in addition to accepting this Undertaking, the ICRC will also require me to appear before a panel of the ICRC to be cautioned.
(5) I, Dr. Shakib, acknowledge that I am entering into a concurrent undertaking that restricts me from completing Special Diet Allowance Application Forms.
B. UNDERTAKING
(6) I, Dr. Shakib, undertake to abide by the provisions of this Undertaking, effective immediately.
(7) Clinical Supervision
(a) I, Dr. Shakib, undertake to practise under the guidance of a clinical supervisor or clinical supervisors acceptable to the College (the “Clinical Supervisor” or “Clinical Supervisors”), for three (3) months (“Clinical Supervision”).
(b) I, Dr. Shakib, undertake to remain free of any conflict of interest with the Clinical Supervisor.
(c) I, Dr. Shakib, acknowledge that I have reviewed the Clinical Supervisor’s undertaking, attached hereto as Appendix “A”, and understand what is required of the Clinical Supervisor. The Clinical Supervisor will, at minimum:
(i) Facilitate the education program set out in the IEP, attached hereto as Appendix “C”;
(ii) Review the materials provided by the College and have an orientation session with me, including to discuss the objectives for the Clinical Supervision;
(iii) Meet with me at my Practice Location, or another location approved by the College, once every month;
(iv) Review at least fifteen (15) of my patient charts at every meeting;
(v) Discuss any concerns arising from the chart reviews;
(vi) Make recommendations to me for practice improvements and ongoing professional development and inquire into my compliance with the recommendations;
(vii) Perform any other duties, such as reviewing other documents or conducting interviews with staff or colleagues, that the Clinical Supervisor deems necessary to my Clinical Supervision;
(viii) Submit a written report to the College at least once at the end of the three (3) months of Clinical Supervision, or more frequently if the Clinical Supervisor has concerns about my standard of practice; and
(ix) Remain free of any conflict of interest with me.
(d) I, Dr. Shakib, acknowledge that the charts reviewed shall be selected by the Clinical Supervisor based on the educational needs identified in the IEP, attached hereto as Appendix “B”, as well as the areas of concern identified in the reports of the Assessors dated July 19, 2024 and September 12, 2025, and concerns that may arise during the period of Clinical Supervision.
(e) I, Dr. Shakib, undertake to cooperate fully with the Clinical Supervision of my practice, conducted under the terms of this Undertaking and Appendix “A” to this Undertaking, and to abide by the recommendations of my Clinical Supervisor, including but not limited to, any recommended practice improvements and ongoing professional development.
(f) I, Dr. Shakib, undertake to ensure that Appendix “A” to this Undertaking is signed and delivered to the College within thirty (30) days of the date I execute this Undertaking.
(g) I, Dr. Shakib, undertake that if a person who has given an undertaking in Appendix “A” to this Undertaking is unable or unwilling to continue to fulfill its provisions, I shall, within twenty (20) days of receiving notice of same, obtain an executed undertaking in the same form from a similarly qualified person who is acceptable to the College and ensure that it is delivered to the College within that time.
(h) I, Dr. Shakib, undertake that if I am unable to obtain a Clinical Supervisor on the provisions set out under sections (7)(f) and/or (g) above, I will cease practising medicine until such time as I have obtained a Clinical Supervisor acceptable to the College.
(i) I, Dr. Shakib, acknowledge that if I am required to cease practise as a result of section (7)(h) above this will constitute a term, condition or limitation on my certificate of registration and that term, condition or limitation will be included on the public register.
(j) I, Dr. Shakib, undertake that if I am required to cease practise as a result of section (7)(h) above, I shall immediately forward a request to the General Manager of OHIP that my billing number be deactivated for services rendered after the date I cease to practise. Once I have obtained a Clinical Supervisor acceptable to the College, I may request that the General Manager of OHIP reactivate my billing number.
(8) OHIP Billing Monitoring
(a) I, Dr. Shakib, undertake to practise under the guidance of an OHIP billing monitor or OHIP billing monitors acceptable to the College (the “OHIP Billing Monitor” or “OHIP Billing Monitors”), for at least twelve (12) months (“OHIP Billing Monitoring”). OHIP Billing Monitoring shall cease only upon approval from the College.
(b) I, Dr. Shakib, undertake to remain free of any conflict of interest with the OHIP Billing Monitor.
(c) I, Dr. Shakib, acknowledge that I have reviewed the OHIP Billing Monitor’s undertaking, attached hereto as Appendix “B”, and understand what is required of the OHIP Billing Monitor. The OHIP Billing Monitor will, at minimum:
(i) Facilitate the education program set out in the IEP, attached hereto as Appendix “C”;
(ii) Review the materials provided by the College and have an orientation session with me, including to discuss the objectives for the OHIP Billing Monitoring;
(iii) Meet with me at my Practice Location, or another location approved by the College, every two (2) weeks for a minimum of two (2) months (“High Level Monitoring”);
(iv) After a minimum of two (2) months of High Level Monitoring, if my OHIP Billing Monitor recommends and the College approves a reduction in the level of monitoring, my OHIP Billing Monitor will meet with me at my Practice Location, or another location approved by the College, once every month for a minimum of six (6) months (“Moderate Level Monitoring”);
(v) After a minimum of six (6) months of Moderate Level Monitoring, if my OHIP Billing Monitor recommends and the College approves a reduction in the level of monitoring, my OHIP Billing Monitor will meet with me at my Practice Location, or another location approved by the College, and, thereafter, every two (2) months for a further four (4) months (“Low Level Monitoring”).
(vi) Review at least fifteen (15) of my patient charts and associated OHIP claim submissions at every meeting and make other enquiries as necessary, including of OHIP and/or the MOHLTC;
(vii) Discuss any concerns arising from the chart and/or associated OHIP claim submission reviews;
(viii) Make recommendations to me for practice improvements and ongoing professional development and inquire into my compliance with the recommendations;
(ix) Perform any other duties, such as reviewing other documents or conducting interviews with staff or colleagues, that the OHIP Billing Monitor deems necessary to my OHIP Billing Monitoring;
(x) Submit written reports to the College at least once every month during High and Moderate Level Monitoring, or until the College approves a reduction in the level of monitoring to Low Level Monitoring, and at least once every two (2) months during Low Level Monitoring, or more frequently if the OHIP Billing Monitor has concerns about my standard of practice; and
(xi) Remain free of any conflict of interest with me.
(d) I, Dr. Shakib, acknowledge that the charts and associated OHIP claim submissions reviewed shall be selected by the OHIP Billing Monitor based on the educational needs identified in the IEP, attached hereto as Appendix “C”, as well as the areas of concern identified in the reports of the Assessors dated July 19, 2024 and September 12, 2025, and concerns that may arise during the period of OHIP Biling Monitoring. OHIP Billing Monitoring may include making enquires of OHIP and/or of the MOHLTC.
(e) I, Dr. Shakib, undertake to cooperate fully with the OHIP Billing Monitoring of my practice, conducted under the terms of this Undertaking and Appendix “B” to this Undertaking, and to abide by the recommendations of my OHIP Billing Monitor, including but not limited to, any recommended practice improvements and ongoing professional development.
(f) I, Dr. Shakib, undertake to ensure that Appendix “B” to this Undertaking is signed and delivered to the College within thirty (30) days of the date I execute this Undertaking.
(g) I, Dr. Shakib, undertake that if a person who has given an undertaking in Appendix “B” to this Undertaking is unable or unwilling to continue to fulfill its provisions, I shall, within twenty (20) days of receiving notice of same, obtain an executed undertaking in the same form from a similarly qualified person who is acceptable to the College and ensure that it is delivered to the College within that time.
(h) I, Dr. Shakib, undertake that if I am unable to obtain an OHIP Billing Monitor on the provisions set out under sections(8)(f) and/or (8)(g) above, I will cease practising medicine until such time as I have obtained an OHIP Billing Monitor acceptable to the College.
(i) I, Dr. Shakib, acknowledge that if I am required to cease practise as a result of section (8)(h) above this will constitute a term, condition or limitation on my certificate of registration and that term, condition or limitation will be included on the public register.
(j) I, Dr. Shakib, undertake that if I am required to cease practise as a result of section (8)(h) above, I shall immediately forward a request to the General Manager of OHIP that my billing number be deactivated for services rendered after the date I cease to practise. Once I have obtained an OHIP Billing Monitor acceptable to the College, I may request that the General Manager of OHIP reactivate my billing number.
(9) Professional Education
(a) I, Dr. Shakib, undertake to participate in and successfully complete all aspects of the detailed IEP, attached hereto as Appendix “B”, including all of the following professional education (the “Professional Education”):
(i) Medical Record-Keeping Workshop, University of Toronto;
(ii) PROBE Canada Program Center for Personalized Education for Professionals, by receiving a passing evaluation or grade, without any condition or qualification. I, Dr. Shakib, will agree to abide by any recommendations of the PROBE program;
(iii) Review, reflection, and discussion with my Clinical Supervisor of the following policies and other self-study:
1. Medical Records Documentation, College Policy;
2. Transitions in Care, College Policy;
3. Sabel M. Clinical manifestations differential diagnosis, and clinical evaluation of a palpable breast mass. In: Connor RF, ed. UpToDate. UpToDate; 2025;
4. 6.4 - Special Diet Allowance, Ontario Disability Support Program policy directives for income support, Ministry of Children, Community and Social Services of Ontario;
5. 6.6 - Special Diet Allowance, Ontario Works policy directives, Ministry of Children, Community and Social Services of Ontario.
(iv) any additional professional education recommended by my Clinical Supervisor and/or by my OHIP Billing Monitor.
(b) I, Dr. Shakib, undertake to provide proof to the College of my successful completion of the Professional Education, including proof of registration and attendance and participant assessment reports, within one (1) month of completing it. I acknowledge that the College will determine, in its sole discretion, whether I have successfully completed the Professional Education.
(c) I, Dr. Shakib, undertake to complete this requirement within three (3) months of executing this Undertaking, or, if no satisfactory program is available by that time, by the first possible opportunity thereafter.
(d) I, Dr. Shakib, acknowledge that a report or reports may be provided to the College regarding my progress and compliance with the Professional Education.
(e) I, Dr. Shakib, acknowledge that if any of the programs and/or self-study resources listed above become unavailable, substitution requests will be reviewed by the College, and the College will determine in its sole discretion whether substitution is appropriate.
(10) Assessment of Practice
(a) I, Dr. Shakib, undertake that, approximately six (6) months after the completion of the Clinical Supervision set out in section (7) above and Appendix “A” to this Undertaking, the completion of the OHIP Billing Monitoring set out in section (8) above and Appendix “B” to this Undertaking, and the completion of the Professional Education set out in section (9) above, I will submit to an assessment of my practice (“the Assessment”) by an assessor or assessors selected by the College (the “Assessor” or “Assessors”). I acknowledge that the Assessment will include a chart review of a minimum of fifteen (15) charts and the associated OHIP claim submissions, and may include direct observation of my care, interviews with me, colleagues and co-workers, feedback from patients, and any other tools deemed necessary by the College.
(b) I, Dr. Shakib, undertake to co-operate fully with the Assessment, conducted under the terms of this Undertaking.
(c) I, Dr. Shakib, acknowledge that my Clinical Supervisor and my OHIP Billing Monitor may receive and review the findings of the Assessor, and may discuss with the Assessor any issues or concerns arising from the Assessment.
(d) I, Dr. Shakib, acknowledge that the results of the Assessment will be provided to me and reported to the College and the Assessment may form the basis of further action by the College.
(11) Monitoring
(a) I, Dr. Shakib, undertake to inform the College of each and every one of my 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. Shakib, undertake that I will submit to, and not interfere with, unannounced inspections of my Practice Locations and patient records by a College representative for the purposes of monitoring my compliance with the provisions of this Undertaking.
(c) I, Dr. Shakib, 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.
(d) I, Dr. Shakib, acknowledge that I have executed the OHIP and NMS consent forms, attached hereto as Appendix “D” and Appendix “E”, respectively.
C. ACKNOWLEDGEMENT
(12) I, Dr. Shakib, acknowledge that all appendices attached to or referred to in this Undertaking form part of this Undertaking.
(13) I, Dr. Shakib, 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.
(14) I, Dr. Shakib, 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.
(15) I, Dr. Shakib, 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”).
(16) I, Dr. Shakib, 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 of the College.
(17) I, Dr. Shakib, acknowledge that this Undertaking constitutes terms, conditions, and limitations on my certificate of registration for the purposes of section 23 of the Code.
(18) Public Register
(a) I, Dr. Shakib, acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.
(b) I, Dr. Shakib, acknowledge that, in addition to this Undertaking being posted in accordance with section (18)(a) above, the following summary shall be posted on the Public Register during the time period that this Undertaking remains in effect:
College investigations were conducted into whether Dr. Shakib engaged in professional misconduct and/or is incompetent in his family medicine practice, including in his completion of Special Diet Allowance Application Forms, his prescribing of narcotics, and his billing practices. As a result of the investigations:
Dr. Shakib will practise under the guidance of a Clinical Supervisor acceptable to the College for three (3) months. Dr. Shakib will also practise under the guidance of an OHIP Billing Monitor acceptable to the College for twelve (12) months.
Dr. Shakib will engage in professional education in appropriate OHIP billing, appropriate use and completion of Special Diet Allowance Application Forms, medical recordkeeping, the inclusion of appropriate supportive documentation with consultation requests and appropriate investigations for patients presenting with a breast lump.
Dr. Shakib’s practice will be assessed by an assessor selected by the College within six (6) months of the end of the period of Clinical Supervision and OHIP Billing Monitoring, and the completion of the professional education.
(c) I, Dr. Shakib, acknowledge that this Undertaking remains in effect until the College determines its terms are satisfied.
D. CONSENT
(19) I, Dr. Shakib, give my irrevocable consent to the College to provide the following information to any person who requires this information for the purposes of facilitating my completion of the Professional Education and to all Clinical Supervisors, OHIP Billing Monitors, and/or Assessors:
(a) any information the College has that led to the circumstances of my entering into this Undertaking;
(b) any information arising from any investigation into, or assessment of, my practice; and
(c) any information arising from the monitoring of my compliance with this Undertaking.
(20) I, Dr. Shakib, 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.
(21) I, Dr. Shakib, give my irrevocable consent to any persons who facilitate my completion of the Professional Education, and to all Clinical Supervisors, OHIP Billing Monitors, Chiefs of Staff and Assessors, to disclose to the College, and to one another, any of the following:
(a) any information relevant to this Undertaking;
(b) any information relevant to the provisions of the Clinical Supervisor’s undertaking set out at Appendix “A” to this Undertaking;
(c) any information relevant to the provisions of the OHIP Billing Monitor’s undertaking set out at Appendix “B” of this Undertaking;
(d) any information relevant to the Assessment;
(e) any information relevant for the purposes of monitoring my compliance with this Undertaking; and/or
(f) any information which comes to their attention in the course of providing the Professional Education and which they reasonably believe indicates a potential risk of harm to my patients.
Terms and conditions imposed on certificate by: Member