The College of Physicians and Surgeons of Newfoundland and Labrador has learned that a number of physicians licensed by the College who are not practicing in Newfoundland and Labrador and who also hold a license from another Canadian licensing authority (referred to in this policy as "non-resident licensed physician"), have used the assumed authority of their College license to countersign prescriptions for persons with whom they do not have a bona fide physician/patient relationship.

It is the College’s understanding that typically these prescriptions are originally being written by physicians who are not residing in the province for patients who also do not reside in the province. These prescriptions are then apparently forwarded to non-resident licensed physicians, who are requested to countersign the prescriptions in order that the prescriptions may be dispensed in a Canadian pharmacy. The non-resident licensed physicians are paid a fee.

Please be advised that in accordance with the Medical Act 2005 and Regulations, a license granted by the College only entitles a license holder to engage in the practice of medicine within Newfoundland and Labrador.

Also, please be advised that non-resident licensed physicians, when not practicing in Newfoundland and Labrador, are not authorized to use their College license to prescribe, or to countersign prescriptions.

Use of the College issued license to prescribe or to countersign prescriptions in relation to practice outside of Newfoundland and Labrador shall be considered by the College to be a misrepresentation of the authority conferred by the license, and may constitute professional misconduct and may therefore become the subject of a complaint and investigation by the College.


See also “Policy regarding Prescribing Practices/Signing or Countersigning Extra-Provincial Prescriptions” and “Policy Regarding Prescribing Practices/Signing or Countersigning Prescriptions for Patients in the Province"