Examinations Overview

The College relies on a number of impartial and objective measures of an applicant’s qualifications to ensure they have the knowledge, skill and judgment to practise safely, competently and ethically upon registration. These will vary depending on which registration pathway an applicant is following (as described in the Registration Overview).  

Individuals applying for registration must successfully complete the College’s entry-to-practise exams. Details about each are provided below. Note that the College is introducing two new Ontario exams that will replace NPLEX I & II between now and November 2020. More information about this transition is available here

Find more information below about:

  • Entry-to-practise exam policies
  • About all ETP exams
  • Eligibility requirements
  • Accommodation requests
  • Retaking the Ontario Clinical Sciences or the Ontario Clinical exams 
  • Additional background
Entry-to-practise exam policies

The following policies contain details about the College’s entry-to-practise exams and the transition policy from NPLEX to the new Clinical Sciences and Biomedical exams.
College Examinations Policy
(Adobe PDF File)

About all ETP exams


Until the transition to the College’s new Clinical Sciences exam and Biomedical Sciences exam are complete, applicants for registration who have graduated from a CNME-accredited Naturopathic program will be required to successfully complete the Naturopathic Physicians Licensing Examinations I and II (NPLEX), which are administered by the North American Board of Naturopathic Examiners (NABNE). 

The College requires completion of NPLEX II along with the Acupuncture elective; however, under NABNE’s governing policies, an individual must have successfully completed NPLEX I in order to qualify to write NPLEX II.
About the NPLEX exams.

New Ontario Clinical Sciences and Biomedical Exams

There are two exams that will replace the NPLEX I and II exams. 
1. Clinical Sciences exam (to replace NPLEX II as of April 1, 2019) – this registration exam tests candidate knowledge of necessary naturopathic competencies for the treatment of patients, 
2. Biomedical exam (to replace NPLEX I as of November 15, 2020) – this exam tests candidate knowledge of body systems and their interactions, body functions, dysfunctions, and disease states.
About the new Clinical Sciences Exam. (Information about the Biomedical Exam will be posted on May 31, 2020.)

Ontario Clinical Examinations (Practical)

Applicants for registration who have graduated from a CNME-accredited program or who have been deemed substantially equivalent by the College’s Prior Learning Assessment and Recognition Program (PLAR) must also successfully complete the College’s Clinical Examinations. These exams assess an applicant’s entry-level competencies in manipulation, acupuncture and physical examination/instrumentation.

About the Ontario Clinical Examinations (Practical). 

Jurisprudence Examination

All applicants for registration, regardless of which pathway is being used to become registered, must complete the Jurisprudence Examination. This open-book exam is a learning-oriented module that focuses on the legislation, regulations, and standards of practice of the profession in Ontario. It presents information to the candidate and then poses a series of questions. 

About the Jurisprudence Examination. 

Eligibility Requirements 

To be eligible to register for any of the College’s entry-to-practise examinations, a candidate must:

Have successfully completed a Council on Naturopathic Medical Education (CNME)-accredited program in naturopathic medicine, including at least 220 hours of didactic (instructional) AND at least 30 hours of clinical (hands-on) training in acupuncture; 
Have been deemed substantially equivalent through the College's Prior Learning Assessment and Recognition (PLAR) program

Have submitted an Application for Pre-Registration to the College and been provided with a username and password to access the online exam registration portal on the College website. 

To be eligible to sit any of the College’s entry-to-practise examinations, a candidate must:
have registered online for the examination(s); and,
paid the examination(s) fee.

IF applying from a CNME-accredited program, the College must have received a copy of the candidate’s academic transcript from the educational institution.
Candidates are responsible for requesting their transcript be sent to the College by their CNME-accredited educational institution.
Candidates for whom a transcript has not been received will be contacted by the College and required to follow-up with their CNME-accredited educational institution.
Transcripts only need to be received by the College once, before the candidate’s first attempt of an entry-to-practise examination. They do not need to be supplied for each individual exam.

Accommodation Requests

The PDF below outlines how to request an exam accommodation and the documentation needed by the College to support the request.
Exam Accommodation Requests
(Adobe PDF File)
Retaking the Ontario Clinical Sciences or Ontario Clinical (Practical) Exam

A candidate who fails an examination on the first attempt can apply to re-take it a second time. After a second failure, the candidate must complete remediation as directed by the Registration Committee before a third and final attempt. An exam candidate who fails on the third attempt is not eligible to continue in the examination process without first completing an additional program of study in naturopathic medicine.

To retake the Ontario Clinical Sciences or the Ontario Clinical (practical) Exams candidates must:
Submit a new copy of their valid, photo identification (a copy of one’s identification must be submitted prior to any attempt at the Ontario Clinical Sciences Exam);
Ensure the residential address and contact information listed on their College profile is still correct and, if not, has been appropriately updated;
Complete the Online Exam Registration process, including payment of the applicable fee(s); and
Submit any additional information (e.g., exam accommodation requests with supporting documentation) by the registration deadline for the exam they wish to sit.
Interested in more background?

Read about why and how the exams were developed.