Webnso
All articles
Google & local visibility · Marketing rules · Free guide

Can you ask patients for Google reviews? What Ontario’s health colleges say

By Allison, Founder of WebnsoUpdated Oct 11, 20267 min read

Reviews matter. Your licence matters more.

Every clinic owner knows Google reviews matter. But if you’re a regulated health professional in Ontario, simply asking a happy patient for one can put you in trouble with your college.

The short answer

It depends on your profession

Several Ontario colleges, including those for massage therapists, occupational therapists, psychotherapists and physicians, say you should not actively ask patients for reviews or point your advertising to them. Physiotherapists have more room: their college allows true, verifiable testimonials and linking to review sites. Whatever your profession, patients are always free to leave a review on their own.

Below, you’ll find what each college actually says, a quick check to run before you ask anyone, and practical ways to grow your reputation that keep you on the right side of the rules.

Testimonials vs reviews: why this is confusing

Most college rules are written about testimonials, not reviews. Knowing the difference is the key to this whole topic.

Testimonial
Praise you control

A quote on your website, a patient story on Instagram, a “what our patients say” section. Many colleges ban these in advertising.

Review
Feedback the patient controls

Posted freely by a patient on Google, Yelp or Facebook. Colleges generally accept these, because you don’t control them.

The grey zone is everything in between: asking for reviews, linking to them from your website, or sharing them on social media. Any of these can turn a review into a testimonial in your college’s eyes.

Asking patients for reviews “could cause patients to feel that they may not receive the same quality of services if they refuse.”

College of Physicians and Surgeons of Ontario, Advice to the Profession: Advertising

That’s the real reason behind these rules. When someone relies on you for their care, a simple request can feel like an obligation.

What each Ontario college says

The rules differ a lot between professions. Here’s a summary of each college’s own guidance, as of October 2026.

Physiotherapists
CPO
Testimonials in your adsAllowed
Only if true, verifiable, genuinely written by patients, and used with their consent.
Asking for reviewsNot addressed
The standard doesn’t address it. Check with the CPO before you ask.
Linking to reviewsAllowed
“Likes, stars, and ratings are also acceptable.”
Read the CPO guidance
Massage therapists
CMTO
Testimonials in your adsNot allowed
Not allowed, and testimonial features on your social media should be turned off.
Asking for reviewsNot allowed
“RMTs should not actively seek out positive reviews from clients.”
Linking to reviewsNot allowed
Client reviews “cannot be incorporated as a testimonial” into your advertising.
Read the CMTO guidance
Occupational therapists
COTO
Testimonials in your adsNot allowed
“The regulation does not permit the use of client testimonials.”
Asking for reviewsNot allowed
Your advertising must not “solicit reviews.”
Linking to reviewsNot allowed
Advertising must not “include, point to” reviews.
Read the COTO guidance
Psychotherapists
CRPO
Testimonials in your adsNot allowed
Not allowed, and star ratings count as testimonials too.
Asking for reviewsNot allowed
Reviews are fine “provided the registrant does not request them.”
Linking to reviewsNot allowed
Linking your advertising to a review site could count as using a testimonial.
Read the CRPO guidance
Physicians
CPSO
Testimonials in your adsNot allowed
“The Regulation prohibits physicians from using testimonials in their advertising.”
Asking for reviewsNot allowed
Directing patients to post reviews could breach the testimonial rule.
Linking to reviewsNot allowed
Linking to reviews from your advertising is listed as a potential breach.
Read the CPSO guidance
Dentists
RCDSO
Testimonials in your adsNot allowed
Industry summaries say testimonials and posted ratings are not allowed. Confirm with the RCDSO.
Asking for reviewsCheck
Check the RCDSO’s current advertising standard.
Linking to reviewsNot allowed
Posting reviews or ratings on your own site is reported as not allowed.
Read your college’s current advertising standard
Chiropractors, TCM practitioners, acupuncturists and naturopaths
CCO · CTCMPAO · CONO
Testimonials in your adsCheck
Each college sets its own rule.
Asking for reviewsCheck
Ask your college’s practice advisor.
Linking to reviewsCheck
Confirm before adding review links or widgets.
Read your college’s current advertising standard
Note

This is a summary, not legal advice, and rules change. Before you act, read your college’s current standard or call its practice advisor. It’s free for members.

A 30-second check before you ask anyone

Run through these three questions before you ask for a review, add a review link, or share a review anywhere.

Does my college allow me to ask?

If your college says not to solicit reviews, stop here. Focus on the steps in the next section instead.

Would this feel like pressure to the patient?

Asking during treatment, before a payment or at the start of a care plan can feel like their care depends on it. Never ask at those moments.

Am I turning a review into an ad?

Copying a review onto your website, Instagram or a flyer usually makes it a testimonial. Check your college’s testimonial rule first.

How to earn more reviews without asking

Even when you can’t ask, you can make it much more likely that happy patients leave a review on their own.

  • Make your Google Business Profile complete and active. Patients can only review a clinic they can find. Add hours, services, photos and your booking link, and post an update every month. Our Google Business Profile guide walks you through it.
  • Make the experience worth talking about. Short waits, a warm front desk, a clear plan for what comes next. Patients review the moments that surprised them.
  • Follow up with care, not a review request. A message two days after a first visit asking how they’re feeling builds trust. People who feel looked after often review on their own.
  • Reply to every review that comes in. It shows future patients you’re present and that you care.
  • If your college allows asking, keep it light. Ask once, after care is done, with no pressure and nothing in return.
A follow-up that builds trust (works for every profession)

Hi [first name], it’s [clinic name]. We just wanted to check in: how are you feeling after your visit on [day]? If you have any questions, reply here or call us anytime.

Only if your college allows review requests

Hi [first name], thank you for trusting us with your care. If you’d ever like to share your experience, you can do it on Google here: [link]. There’s no obligation at all, and it won’t affect your care in any way.

Practical tools: automations and QR signs

Two tools make reviews happen without anyone having to remember. Use the version that matches your college’s rules.

Tool 1
An automatic message after each visit

Most booking systems and simple automation tools can send a text or email after an appointment is marked complete. Set it once and every patient gets it, with nobody having to remember.

EveryoneA care check-in 1–2 days later: “How are you feeling?”
If allowedA gentle review link, sent once, after the care plan is finished.
Tool 2
A nice QR sign at the front desk

A small acrylic or wooden QR stand looks professional and costs little. You can order custom ones on Etsy or Amazon, or from a local print shop.

Everyone“Book your next visit” or “Follow us on Instagram”.
If allowed“Share your experience on Google”.
  • Use Google’s own review link. In your Google Business Profile, click Ask for reviews to get a short link, and use it for both your QR code and your messages.
  • Send it to every patient, not just the happy ones. Google’s policies don’t allow asking only patients you expect to leave good reviews.
  • Time it after care, never during. Not at the start of a treatment plan, not at the payment terminal.
  • Put the QR sign at checkout, not in the treatment room. It should feel like an option, not part of the visit.
  • Test the QR code on two phones before you order. Then check it again every few months.
  • Never add a reward, not even a draw or a small discount.
Webnso

We set up these automations for clinics, matched to your college’s rules: a care check-in for everyone, and a review request only where it’s allowed.

Is your Google profile helping or hurting you?
Take our free 2-minute clinic visibility check and see what to fix first.
Get my score

How to reply to reviews, safely

Replies are public. In healthcare, that means never revealing anything about someone’s care, or even confirming that they’re your patient. The CMTO, for example, reminds its members to maintain privacy by “not posting or revealing any client information.”

Reply to a positive review

Thank you so much for taking the time to share this. We’re glad you had a good experience with our team.

Reply to a negative review

Thank you for your feedback. We take every concern seriously and would like to understand what happened. Please call the clinic and ask for [name] so we can talk privately.

Tip

Never mention a treatment, condition, visit date or anything from their file, even if the reviewer mentioned it first.

What not to do

  • Offer anything in return. No discounts, draws, gift cards or free sessions for reviews.
  • Copy reviews onto your website or social media without checking your college’s testimonial rule.
  • Add a “Review us on Google” button to your website. Several colleges see this as pointing your advertising to reviews.
  • Write reviews yourself, or ask staff, friends or family to post them.
  • Try to remove only the negative ones. The CPSO lists this as a potential breach. Flagging abusive or discriminatory comments is different.
  • Reply with patient details, even general ones like “sorry your back still hurts.”

Questions clinic owners ask

Can patients leave Google reviews for my clinic?

Yes. Patients are free to review you on Google, Yelp or Facebook. The college rules are about what you do with reviews: asking for them, sharing them or using them in your marketing.

Can I put Google reviews on my clinic website?

For most Ontario health professions, no. Once a review appears in your marketing, it becomes a testimonial. Physiotherapists are the main exception: their college allows true, verifiable testimonials used with patient consent.

Can I put a “Review us” QR code at my front desk?

If your college says not to solicit reviews, a QR code asking for one is still a request. Check with your college before you print anything.

How should I reply to a negative review?

Calmly and briefly, without confirming the person is your patient or mentioning any treatment. Invite them to contact the clinic directly so you can talk privately.

My clinic has several kinds of practitioners. Whose rules apply?

Each practitioner follows their own college. In a multidisciplinary clinic, the safest approach is to follow the strictest rule that applies to anyone on your team, for the whole clinic.

Can I ask my college for advice?

Yes, and it’s free. Most Ontario health colleges have a practice advisor who answers members’ questions about advertising. It’s the best way to be sure.

Allison, founder of Webnso
A note from Allison

I’m training as a Traditional Chinese Medicine practitioner myself, so I see both sides. Clinics need reviews to be found, and patients need to know their care never depends on a star rating. The good news: the things that earn reviews naturally are the same things that bring in new patients.

Sources
College of Physiotherapists of Ontario: Advertising and Marketing Standard resources (effective May 1, 2025) College of Massage Therapists of Ontario: Social Media Guidelines (May 2024) College of Occupational Therapists of Ontario: Advertising with testimonials and Google reviews College of Registered Psychotherapists of Ontario: Grey areas around testimonials College of Physicians and Surgeons of Ontario: Advice to the Profession, Advertising

Keep reading

Google & local visibility
How to optimize your clinic’s Google Business Profile, field by field
Google & local visibility
Why your Google Business Profile isn’t showing up (and how to fix it)
Leads & automation
10 ways to get more new patients without paid ads

Grow your reputation the right way.

We build clinic websites and Google profiles with your college’s rules in mind, so you can grow without second-guessing every post.

Book my free call