Mandatory referral
 13. (1) If a patient’s life is or may be at risk, it is a standard of practice of the profession that the member shall immediately call emergency services to transfer the patient to a hospital. (2) If the patient’s condition prevents the member from communicating a naturopathic diagnosis because the condition is beyond the scope of practice of the profession, it is a standard of practice of the profession that the member shall refer the patient to, (a) a member of the College of Physicians and Surgeons of Ontario; (b) a member of the College of Nurses of Ontario who holds a certificate of registration as a registered nurse in the extended class; or (c) a member of another health profession College where the patient’s condition would fall within that member’s scope of practice under his or her health profession Act. (3) If treatment of the patient’s condition is beyond the scope of practice of the profession, it is a standard of practice of the profession that the member shall refer the patient to, (a) a member of the College of Physicians and Surgeons of Ontario; (b) a member of the College of Nurses of Ontario who holds a certificate of registration as a registered nurse in the extended class; or (c) a member of another health profession College where the patient’s condition would fall within that member’s scope of practice under his or her health profession Act. (4) If the treatment of the patient’s condition requires diagnostic, monitoring or treatment related technology that is beyond the scope of practice of the profession, it is a standard of practice of the profession that the member shall refer the patient to, (a) a member of the College of Physicians and Surgeons of Ontario; or (b) a member of another health profession College where the diagnostic, monitoring or treatment related technology would fall within that member’s scope of practice. (5) If the patient or the patient’s authorized representative asks the member to refer the patient to another member or a member of another health profession College, it is a standard of practice of the profession that the member shall immediately make the referral in accordance with the request of the patient or his or her authorized representative. (6) It is a standard of practice of the profession that the member must immediately refer the patient to a member of the College of Physicians and Surgeons of Ontario or a member of the College of Nurses of Ontario who holds a certificate of registration as a registered nurse in the extended class if the patient’s laboratory test result from a laboratory licensed under the Laboratory Specimen Centre Collection Licensing Act is a critical value test result. (7) It is a standard of practice of the profession that the member must refer the patient to a member of the College of Physicians and Surgeons of Ontario or a member of the College of Nurses of Ontario who holds a certificate of registration as a registered nurse in the extended class if the response of a patient to the treatment offered by a member is not adequate and is not likely to improve based on alternative treatments available from the member, or if the patient’s condition significantly deteriorates and is likely to continue to do so without a referral. (8) Nothing in this section prohibits a member who has referred a patient from providing that patient with supportive or other health services within the member’s scope of practice after the patient has been referred, as long as the member works in collaboration with the person to whom the patient was referred and the patient. (9) In this section, “critical value test result” means a laboratory test result that shows a marked deviation from the reference ranges, with no clear indication to the laboratory that these are expected deviations. Part III   Delegation