Botulinum Toxin: Medical/Non-Aesthetic

Certification in botulinum toxin: medical/non-aesthetic authorizes a registrant to perform injections of botulinum toxin for the following: temporomandibular joint (TMJ) syndrome, headaches, migraines, and hyperhidrosis. Once certified, registrants may only perform these specified aspects of practice.

A naturopathic physician certified in botulinum toxin: medical/non-aesthetic is not permitted to delegate those acts to any other person, or give an order to any other person to perform the injections on their behalf. It is professional misconduct to delegate these injection procedures or to direct another person to perform them.

Registrants must only use botulinum toxin substances that are approved by Health Canada and are included in the pharmacopeia of naturopathic physicians with Prescriptive Authority.

Naturopathic physicians who provide injections of botulinum toxin are required to complete CNPBC approved education and training prior to performing such procedures, including certification in Prescriptive Authority, and must maintain currency in the practice.

Certification Requirements

In order to apply for certification in botulinum toxin: medical/non-aesthetic, naturopathic physicians must:

  1. Have the status of a full registrant under s. 46 of the CNPBC Bylaws;
  2. Be certified in Prescriptive Authority;
  3. Posses a current qualification in Naturopathic Advanced Life Support (NALS); and
  4. Have satisfied the training requirements for this certification.

Registrants must complete at least two days (16 hours) of injection training using botulinum toxin to satisfy the training requirements for certification in botulinum toxin: medical/non-aesthetic. This training must include at least one day (8 hours) covering the fundamentals of botulinum toxin injections (anatomy, physiology, mechanisms of action and reconstitution), as well as an additional day covering medical/non-aesthetic application of botulinum toxin injections for the following conditions: temporomandibular joint (TMJ) syndrome, headaches, migraines, and hyperhidrosis. The training must include theoretical and practical components, with at least four hours of practical training.

Note: Courses approved for certification in Aesthetic Procedures – Cosmetic Botulinum Toxin may satisfy the fundamentals of botulinum toxin injections training requirement. Registrants who have previously completed that training, may satisfy the training requirements for certification in botulinum toxin: medical/non-aesthetic by completing an additional one day (8 hour) botulinum toxin injections course focused on medical/non-aesthetic applications, with at least four hours of hands-on/practical training.

The following course has been approved as training for certification in botulinum toxin: medical/non-aesthetic:

– Therapeutic Applications of Neuromodulators offered by the International Institute of Aesthetic Medicine. Pre-requisite course: Cosmetic Neuromodulator Foundations Day One offered by the International Institute of Aesthetic Medicine.

– Botulinum Toxin – Therapeutic Applications offered by Dr. Haneef Alibhai MD at MD Cosmetic. Pre-requisite course: Botulinum Toxin Level 1 offered by Dr. Haneef Alibhai MD at MD Cosmetic. NOTE: These courses are no longer available. If registrants completed these courses prior to March 2022, you may apply for certification.