Professionalism and 
in Natural or Alternative Medicine

ISBN 2-9803960-0-1

In this by-law, unless the context indicates otherwise, the following definitions apply

  • “Commission” the Commission des Praticiens en Médecines Douces du Québec:
  • “Practitioner” a person registered with the Commission:
  • “Patient” a person, group, community or organization receiving the services of a practitioner.

“Natural or Alternative medicine” is medicine that makes little or no use of chemicals or surgery. (Villeneuve, C.) Sondage auprès des Québécois usagers de médecine douce, Office des professions du Québec, August 1991, page (6) article (1.5)


1.01. The practitioner registered on the roll of the CPMDQ must, in the exercise of his profession or practice, take into account the physical, mental, emotional and spiritual principles generally recognized in natural or alternative medicine.

SECTION II – General provision

2.01. Upon acceptance of a mandate and during its execution, the practitioner must take into account the limits of his competence and the means at his disposal. The Practitioner must not undertake professional work for which he/she is not adequately prepared.

2.02. A practitioner shall not practice or carry on business in a condition that may compromise the quality of his services. A Practitioner shall not practice while under the influence of any substance which may produce intoxication, impairment or disturbance of faculties, or unconsciousness.

2.03. The practitioner shall use his best efforts to establish and maintain trust between himself and his patient. The Practitioner must respect the values and beliefs of the patient in all of his engagements.

2.04. The practitioner must conduct himself in a manner that is above reproach to the patient, be it physical, mental, emotional or spiritual. Nor shall the practitioner take advantage of a patient physically or emotionally, that is:

– Sexual activity with patients is prohibited.

– Borrowing money from a patient is prohibited.

SECTION III – Integrity and Objectivity

3.01. The practitioner shall perform his/her professional duty with integrity, objectivity and reserve.

3.02. The Practitioner must avoid any action or attitude that may give the profession a character of gain.

3.03. The Practitioner must inform the patient of the scope and conditions of the mandate given by the patient and must obtain the patient’s approval of the mandate.

3.04. The Practitioner must fully and objectively explain to the patient the nature and scope of the problem before him, the possible solutions and their implications.

3.05. The Practitioner, in his professional duty, must not misrepresent his competence and the effectiveness of his services.

3.06. The Practitioner does not use any procedure to coerce a person to make a confession against his/her will.

3.07. Except for these fees, the Practitioner does not enter into any economic relationship with his patient.

  • Borrowing money from a patient is prohibited.

3.08. The practitioner must not perform professional acts without sufficient reason. He must avoid performing an act disproportionate to his patient’s need.

3.09. The Practitioner must refrain from diminishing or enhancing his patient by differences such as culture, ethnicity, color, race, sex, religion, marital status, sexual proclivities, mental or physical abilities, age, socioeconomic status and/or any other personal preference or characteristic, condition or status.

SECTION IV – Availability and Diligence

4.01. The Practitioner shall be available and diligent with the patient.

4.02. The Practitioner must provide the patient with the explanations necessary to understand the treatment provided.

4.03. Except for just and reasonable cause, a Practitioner shall not terminate services to a patient.  Just and reasonable cause for termination of services includes, but is not limited to

Lack of trust on the part of the patient

  • The patient no longer benefits from the practitioner’s services
  • The practitioner has a conflict of interest that compromises the relationship with the patient
  • Invitation by the patient to perform unfair, illegal or fraudulent acts

SECTION V – Liability

5.01. The practitioner shall incur personal civil liability. No contract for professional services shall contain a clause relieving the practitioner of such liability.

SECTION VI – Independence

6.01. The Practitioner shall not receive, in addition to his fee to which he is entitled, any benefit, rebate or commission except for the purchase and/or sale of therapeutic products that may benefit the patient. Furthermore, he/she shall not pay, offer to pay or commit to pay any rebate or commission.

Section VII – Professional Confidentiality

7.01. The Practitioner shall respect the confidentiality of any information in the file as confidential which he/she may have obtained in the exercise of his/her profession.

7.02. The practitioner shall not disclose that a person has sought his or her services unless the nature of the situation or problem involved makes such disclosure necessary or unavoidable. In such cases, the Practitioner shall inform the patient as soon as possible.

7.03. The Practitioner conceals the identity of his patients when using information obtained from them.

7.04. The Practitioner informs the participants in a group session of the possibility that any aspect of the private life of any of them may be revealed, and undertakes to respect the privacy and confidentiality of any communications they may obtain during that session.

7.05. Except in the case of a minor and the person legally responsible, when the Practitioner is working with a couple or family, the right of confidentiality of each member of the couple or family must be protected.

7.06. The practitioner must not use information of a confidential nature from the patient to obtain a benefit for himself or herself or for others.  Example of the limit to confidentiality;

  • When explicit consent to do so is given
  • When required by law or court order
  • When it concerns a minor and the person legally responsible

SECTION VIII – Determination and Payment of Fees

8.01. The practitioner must claim that his fees are legitimate and reasonable. His fees must be justified by the treatment rendered.

8.02. The practitioner must take into account the following elements in determining his fees.

  • His experience
  • The time devoted to the professional treatment
  • The difficulty of the treatment

8.03. The Practitioner may not claim payment of fees in advance.

8.04. The practitioner must inform the patient of the approximate cost and duration of the professional treatment.

8.05. The Practitioner may not charge interest on his accounts.

8.06. Prior to initiating any legal proceedings, the Practitioner must use other means to acquire payment of his fees.

8.07. The Practitioner must charge and accept a fair and reasonable price for all sales of Natural Products to his patient.

8.08. The Practitioner must not abuse the sale of any Product for his or her own benefit.

SECTION IX – Derogatory Act

9.01. A Practitioner must not persistently induce or solicit a patient to use his/her services.

9.02. A Practitioner must not influence a patient to do anything illegal or fraudulent.

9.03. A Practitioner shall not charge a patient for treatment not rendered.

9.04. The Practitioner must not issue a receipt or other falsified document. For group insurance reimbursements, the Practitioner must use original, unaltered CPMDQ receipts.

9.05. The Practitioner must inform the CPMDQ when a member violates the rules of this Code of Ethics or if there is reason to believe that a Practitioner is practicing incompetently.

9.06. A practitioner may not hold himself or herself out as a healer or clairvoyant.


We believe that the foregoing rules of conduct are comprehensive and provide a highly professional framework.

Given our goal of providing the public with practitioners of the highest quality, these attitudes and behaviors are appropriate.

Members of the CPMDQ are expected to follow these principles under oath or affirmation before an authorized person.