How to Become a Diagnostic Medical Sonographer in Canada — Accredited Programs, the Sonography Canada Exams and CCSA, and Provincial Registration

This guide covers one route only: a student in Canada who completes an accredited diagnostic medical sonography program, completes the Canadian Clinical Skills Assessment, passes the Sonography Canada knowledge-based examinations for one credential area, and registers with the regulator or meets the employer credential requirement where they will work. It is not the route for a sonographer who trained abroad, it is not the Quebec route, and it is not a route to practising medical radiation technology without the credential and registration that profession requires. A sonographer trained outside Canada follows the Alternate Pathway assessment route, starting with the regulator for the intended province. Quebec follows the OTIMROEPMQ route in Step 4. Do not mix the steps: a program alone does not credential you, passing the written examinations alone does not credential you, and a credential in one area does not qualify you in another. This guide gives administrative process only. It gives no clinical, imaging, or treatment advice, and it does not assess whether any individual reader qualifies for admission, examination, or registration.

Three kinds of bodies divide the work, and confusing them is the expensive mistake. Accreditation Canada lists the accredited education programs and, as the Sonography Canada certification FAQ page states it, provides accreditation services for diagnostic medical sonography educational programs in Canada. Sonography Canada is the official credentialing body for diagnostic medical sonographers in Canada: it administers the entry-to-practice examinations, sets the National Competency Profiles, and grants the credentials. The regulator or college in the province where you will practise licenses you to practise and to use the title, where the profession is regulated at all. Job Bank, for medical sonographers under National Occupational Classification 32122, states the national shape this guide starts from: completion of a three- to four-year program in diagnostic medical sonography or ultrasound technology, or completion of a two- to three-year program in a related allied health field and a one-year post-diploma program in diagnostic medical sonography from an accredited institution; registration with Sonography Canada and/or the American Registry of Diagnostic Medical Sonographers is usually required by employers; registration with the OTIMROEPMQ is required in Quebec; and registration with the College of Medical Radiation Technologists of Ontario, in the Job Bank page's older naming, is required in Ontario. That Job Bank framing is the starting point, not the last word. Its Ontario body name is out of date, the current body is the College of Medical Radiation and Imaging Technologists of Ontario, and its regulated-province picture must be checked against the regulator pages in Step 3, because Job Bank names only Quebec and Ontario while Sonography Canada's current pages name five regulated provinces. Confirm the current rule on the regulator or Sonography Canada page on the day you rely on it, because registration rules change and older summaries linger.

What the work involves

Diagnostic medical sonographers operate ultrasound equipment to produce and record images of various parts of the body to aid physicians in monitoring pregnancies and in diagnosing cardiac, vascular, and other medical disorders, in the wording Job Bank and the BC education pages use for the occupation. The work uses high-frequency sound waves, not ionizing radiation, and that modality distinction is the whole professional boundary in this guide: sonography is ultrasound under Sonography Canada credentials, while medical radiation technology uses X-rays, radiopharmaceuticals, magnetic fields, or therapeutic radiation under CAMRT certification. Sonography Canada grants credentials in three specialty areas, each tied to the anatomy and examinations the credential covers. The Canadian Registered Generalist Sonographer (CRGS) denotes a sonographer who specializes in imaging the abdomen, pelvis, superficial structures, peripheral veins for deep vein thrombosis, and obstetrics. The Canadian Registered Cardiac Sonographer (CRCS) denotes a sonographer who specializes in imaging the anatomy and function of the heart, and congenital heart conditions in adults. The Canadian Registered Vascular Sonographer (CRVS) denotes a sonographer who specializes in imaging the abdominal, peripheral, and extracranial vessels. A fourth designation, the Canadian Registered Sonographer (CRS), denotes a sonographer who holds limited credentials in one component of the full CRGS credential, in either abdomen or obstetrics and gynecology, and individuals can no longer obtain that limited credential. The credential designations are reserved for individuals certified by Sonography Canada who maintain Sonography Canada membership in good standing. Sonography Canada states that clinics and hospitals routinely require Sonography Canada credentials as a condition of employment. Choose the credential area before you apply, because the program, the examinations, the CCSA, and the registration are all area-specific, and a generalist program does not by itself qualify a candidate in cardiac or vascular sonography.

Step 1: Choose one credential area, then choose an Accreditation Canada-listed program in that area, and check its status before you apply

The entry credential is completion of a program in diagnostic medical sonography that is listed by Accreditation Canada. Do not treat any program list copied from a secondary source as current, do not assume a program covers a credential area because the same institution also runs a program in another area, and do not assume a cardiac entry qualifies a candidate for the generalist credential. Check the Accreditation Canada list of educational programs before you apply, and count programs by the rows the list itself names, not by a headline count and not by a section heading. Sonography Canada's certification FAQ page points candidates to the same Accreditation Canada list and instructs them to select Diagnostic Medical Sonography from the list. Program location, prerequisites, and format vary widely between programs, as that FAQ page states it, so confirm the credential area, length, clinical placements, and admission requirements on the program page you will actually attend. This guide states no grade threshold, seat count, prerequisite list, program length beyond the Job Bank framing above, or tuition figure for any program, because none was verified on a program or regulator page linked in Sources.

Counted row by row from the Accreditation Canada list last updated October 30, 2026, the list names 39 Canadian diagnostic medical sonography program rows: 17 Accredited, 9 Accredited with Condition, and 13 Admitted. The rows are:

Alberta, 5 rows. MCG Career College, Calgary, Diagnostic Medical Sonography, Accredited, expiry August 31, 2028. Northern Alberta Institute of Technology, Edmonton, Diagnostic Medical Sonography (General and Cardiac), Accredited, expiry June 30, 2032. Northern Alberta Institute of Technology, Edmonton, Diagnostic Medical Sonography (General), Accredited with Condition, expiry June 30, 2028. Red Deer Polytechnic, Red Deer, Diagnostic Medical Sonography Diploma, Admitted, expiry July 31, 2028. Southern Alberta Institute of Technology, Calgary, Diagnostic Medical Sonography (general, cardiac and vascular sonography), Accredited, expiry June 30, 2027.

British Columbia, 4 rows. British Columbia Institute of Technology, Burnaby, Diagnostic Sonography (cardiac, general and cardiac), Accredited, expiry August 31, 2031. British Columbia Institute of Technology, Burnaby, Diagnostic Sonography Advanced Diploma (cardiac), Accredited, expiry August 31, 2031. Camosun College, Victoria, Diagnostic Medical Sonography (generalist and cardiac), Accredited, expiry April 30, 2029. College of New Caledonia, Prince George, Diagnostic Medical Sonography (general and cardiac), Accredited with Condition, expiry June 30, 2028.

Manitoba, 3 rows. Red River College Polytechnic, Winnipeg, Diagnostic Medical Sonography-General (general sonography), Accredited, expiry July 31, 2028. Red River College Polytechnic, Winnipeg, Diagnostic Medical Sonography-Cardiac (cardiac sonography), Accredited, expiry July 31, 2028. Red River College Polytechnic (Suncrest College delivery site), Winnipeg, Diagnostic Medical Sonography (general), Admitted, expiry March 31, 2029.

Newfoundland and Labrador, 1 row, listed under the heading Newfoundland on the linked list. College of the North Atlantic, St. John's, Diagnostic Ultrasonography (general sonography), Prince Philip Drive Campus, Accredited with Condition, expiry February 29, 2028.

Nova Scotia, 1 row. Dalhousie University, Halifax, Diagnostic Medical Ultrasound (general cardiac and vascular sonography), Accredited with Condition, expiry February 29, 2028.

Ontario, 25 rows. Algonquin College of Applied Arts and Technology, Ottawa, Diagnostic Medical Sonography (general sonography), Accredited, expiry May 31, 2027. Algonquin College of Applied Arts and Technology, Ottawa, Diagnostic Cardiac Sonography (cardiac sonography), Accredited, expiry February 29, 2032. Anderson College of Health, Business and Technology, Toronto, Diagnostic Medical Sonography, Accredited with Condition, expiry August 31, 2027. Canadian National Institute of Health, Ottawa, Diagnostic Medical Sonography (general sonography), Accredited, expiry June 30, 2027. Canadian College of Healthcare and Pharmaceutics, Toronto, Diploma in Ultrasound Diagnostic Medical Sonography-General, Admitted, expiry June 30, 2028. Canadian Ultrasound Institute, Mississauga, Diagnostic Cardiac Sonography, Admitted, expiry May 31, 2028. Collège Boréal, Sudbury, Échographie diagnostique (échographie générale), Accredited, expiry February 29, 2028. Conestoga College Institute of Technology and Advanced Learning, Kitchener, Diagnostic Medical Sonography, Admitted, expiry May 31, 2029. Fleming College, Peterborough, Diagnostic Cardiac Sonography, Admitted, expiry March 31, 2029. Georgian College of Applied Arts and Technology, Barrie, Diagnostic Medical Sonography, Admitted, expiry June 30, 2029. Hart College of Cardiac Sonography and Healthcare Inc., Toronto, Diagnostic Medical Sonography (cardiac), Admitted, expiry December 31, 2027. Humber Polytechnic, Etobicoke, Diagnostic Medical Sonography, Admitted, expiry March 31, 2029. Humber Polytechnic, Etobicoke, Diagnostic Cardiac Sonography, Admitted, expiry March 31, 2029. Mississauga Career College, Mississauga, Diagnostic Medical Sonography, Admitted, expiry February 29, 2028. Mohawk College of Applied Arts and Technology, Hamilton, Diagnostic Cardiac Sonography (cardiac sonography), Accredited, expiry April 30, 2029. Mohawk College of Applied Arts and Technology, Hamilton, Sonography, Medical Radiation Sciences (750), Admitted, expiry February 28, 2029. Mohawk College-McMaster University, Hamilton, Medical Radiation Sciences, Ultrasonography Specialization (general sonography), Accredited, expiry June 30, 2032. The Michener Institute of Education at UHN, Toronto, Ultrasound (general sonography), Accredited, expiry April 30, 2028. St. Clair College, Windsor, Medical Diagnostic Sonography (general sonography), Accredited with Condition, expiry August 31, 2028. St. Clair College, Windsor, Diagnostic Cardiac Sonography, Accredited, expiry December 31, 2028. Sheridan College Institute of Technology and Advanced Learning, Brampton, Ultrasound (general sonography), Admitted, expiry February 28, 2029. Pharma-Medical Science College of Canada, Toronto, Diagnostic Medical Sonography (general sonography), Accredited, expiry January 31, 2027. Pharma-Medical Science College of Canada, Toronto, Diagnostic Cardiac Sonography (cardiac sonography), Accredited with Condition, expiry May 31, 2027. Pharma-Medical Science College of Canada, Etobicoke, Diagnostic Medical Sonography (general sonography), Accredited with Condition, expiry April 30, 2027. Pharma-Medical Science College of Canada, Etobicoke, Diagnostic Cardiac Sonography (cardiac sonography), Accredited with Condition, expiry April 30, 2027.

There is no diagnostic medical sonography row in Quebec, New Brunswick, Prince Edward Island, Saskatchewan, or any territory on the linked list. That absence is a statement about the Accreditation Canada list only. Quebec's permit route runs through a DEC program recognized by the OTIMROEPMQ, as Step 4 sets out, and the absence of a Quebec row on the Accreditation Canada list must not be read as the absence of a Quebec route. If you live in a jurisdiction with no program row in your credential area, the program means studying in another province, and the regulator in the province where you intend to practise is still the authority for whether that program's credential is the one it accepts, so check that regulator's program approval before you apply, not after you graduate. Ontario applicants in particular must check CMRITO approval, not only Accreditation Canada listing: the CMRITO approved-educational-programs page lists Ontario institutions that currently provide CMRITO-approved programs, and it names sonography entries separately from the MRT specialties.

Status matters, and the three statuses on the list mean different things. Accredited means the program complies with the accreditation standard, with status expiring six years from the accreditation award. Accredited with Condition means partial compliance: the program must implement specific changes within two years of conditional status to maintain accreditation, and students should be aware of the risk that the program may not make the necessary changes, potentially resulting in a loss of accreditation. Admitted, formerly Registered, means the program has applied for accreditation and processes are underway, expiring three years from admission unless otherwise indicated, and students are advised to monitor the status to ensure accredited status has been achieved at the time of graduation, because students in a program that has not been accredited at graduation may not be eligible for further credentialing, certification, or registration. Sonography Canada's FAQ page restates the sonography consequence directly: to be eligible for the Sonography Canada exams, candidates must have graduated from a Canadian sonography program listed as accredited or accredited with condition by Accreditation Canada at the time of program completion. Policy SC-CT-007 adds the Admitted trap for the clinical component: an Admitted program must be awarded Accredited or Accredited with Condition status before the graduate's program completion date for the CCSA to be valid. Do not enrol in an Admitted or Accredited with Condition program on the assumption that its status will resolve in your favour: confirm the status on the Accreditation Canada list on the day you rely on it, confirm with the destination regulator that graduation from a program holding that status at your graduation date will satisfy its program requirement, and note the Ontario rows whose expiry dates fall in early 2027, because an expiry date on the linked list is not a guarantee of status on the day you graduate.

Step 2: Complete the CCSA, then pass the Sonography Canada knowledge-based examinations for the credential, within the attempt and time limits

After, or during, the program, candidates complete the two components of the Sonography Canada credential: the knowledge-based examinations and the clinical component, the Canadian Clinical Skills Assessment. Both components must be successfully completed to earn a credential. The order depends on the pathway, as the FAQ answer above sets out: accredited-program candidates complete the CCSA during the program, while Alternate Pathway candidates complete it after passing the written examinations. Do not book travel, give notice, or accept a post that requires registration on the assumption that an examination booking alone authorizes practice, and do not assume that passing the examinations in one credential area authorizes practice in another.

The examination naming conflict must be stated before any sitting is booked, because three Sonography Canada and regulator sources linked in Sources describe the same credential with different examination names, and the transition falls inside the 2027 sitting year. Policy SC-CT-007 names four examinations, Generalist, Core, Cardiac, and Vascular, with a maximum of four attempts of each. The January 2026 Candidate Guide states the two-exam structure, Core plus a credential-specific examination, and the January 2027 integration of Core content into the credential-specific examination, with candidates under National Competency Profile 7.0 able to choose not to write the Core examination. The CMRITO approved-examinations policy states the registration consequence of the same integration: from January 2027 applicants write one integrated examination per area of practice, and applicants writing non-integrated examinations write the core examination plus the area examination. The 2027 sitting table then labels the January sitting with a Core day and the May and September sittings without one. This guide follows the linked Sonography Canada pages and the CMRITO policy together: for sittings from January 2027, expect the integrated examination per area of practice, but confirm the exact examination name for your sitting on the Sonography Canada dates page and with the destination regulator, because the January table still carries Core wording. A candidate who writes under the non-integrated naming and a candidate who writes the integrated examination are not writing interchangeable bookings, and the regulator's approved-examinations page, not a program handout, decides which booking satisfies registration.

The sitting pattern, format, and eligibility stated here come only from Sonography Canada pages linked in Sources. The examinations are administered three times per year. The confirmed 2027 sittings are January 13 to 15, 2027, with registration October 19 to November 8, 2026, cut-off 2 p.m. Eastern, and a withdrawal date of December 29, 2026; May 12 to 13, 2027, with registration February 23 to March 18, 2027, and a withdrawal date of April 27, 2027; and September 8 to 9, 2027, with registration June 23 to July 14, 2027, and a withdrawal date of August 23, 2027. All examination, registration, and withdrawal dates are subject to change, as the dates page states it. In the January sitting the Generalist examination is on Day 1, Wednesday, the Cardiac examination on Day 2, Thursday, and Core and/or Vascular on Day 3, Friday; in the May and September sittings the Generalist examination is on Day 1 and Cardiac and/or Vascular on Day 2. Candidates schedule examinations between 8 a.m. and 7 p.m. Eastern Time. The examinations are computer-based, conducted online via live remote proctoring by ProctorU, part of the Meazure Learning organization, or in secure proctored facilities contracted by Meazure Learning, Yardstick Assessment Strategies. All questions are multiple-choice, many include images or video clips, candidates should be prepared to read and answer a question within one minute, reference materials and aids are not allowed, and the platform includes a built-in calculator. The Core and Generalist examinations are offered in English and French, and the Cardiac and Vascular examinations are currently offered in English only. Applications must be submitted online with full payment during the registration period only, late applications will not be accepted, and each application is subject to a mandatory application processing fee of 150 dollars, which is non-refundable, as the certification FAQ page states it. Examination fees are in Canadian dollars and are subject to change without notice, and all examination and application fees are subject to HST as required by law, as the Candidate Guide states it. No per-examination fee figure is stated in this guide: the only per-examination figures on the linked pages come from a November 2019 Candidate Guide, which conflicts with the current 150-dollar processing fee, and carrying those 2019 figures would misstate the current cost. Confirm the per-examination fees on the Sonography Canada fees page on the day you apply, and confirm the total before paying. Practice examinations are available separately at 50 dollars per practice examination, one 35-question, 35-minute practice examination for each of the Core, Generalist, Cardiac, and Vascular examinations, with the Core and Generalist practice examinations available in English and French and the others in English only.

Eligibility and attempts are the two limits that end candidacies. Eligibility through the accredited-program pathway requires successful completion of a Canadian-accredited diagnostic medical sonography program, with the program listed as Accredited or Accredited with Condition, and successful completion of the CCSA for the same credential as the examination selected. The educational program determines eligibility for the Core examination, candidates must have graduated from an accredited or accredited-with-condition program before challenging a specialist examination, and Sonography Canada requires confirmation of examination eligibility sent from the educational program to approve a specialist examination application. Attempts and time limits are stated in both Policy SC-CT-007 and the Candidate Guide, with one conflict to name. For accredited-program graduates, all credentialing examinations must be successfully completed within five years of the program completion date, defined as the last day of the month within which all program requirements are completed, with a maximum of four attempts of each examination, one initial attempt and three rewrites. For Alternate Pathway candidates, the January 2026 Candidate Guide states that all relevant credentialing examinations and the associated CCSA must be successfully completed within five years from the candidate's last clinical practice or completion of sonography education, with the same four-attempt maximum for each examination. An older June 2024 Candidate Guide stated four years from the date of eligibility for Alternate Pathway candidates. This guide follows the January 2026 guide as the newer Sonography Canada statement and states the older four-year wording as superseded, with the instruction to confirm the current timeframe on the Alternate Pathway Eligibility Policy before relying on it, because a regulator in a regulated jurisdiction may supersede the Sonography Canada timeframe. Candidates who have not successfully completed the Core examination within five years of their approval date will need to re-challenge the current version of Core, as the Candidate Guide's footnote states it. Plan the first attempt inside the five-year window with sittings to spare: the window runs from program completion, not from the first attempt, and a failed sitting consumes both an attempt and calendar time. A regulator may set a shorter date, so confirm the attempt position with the destination regulator as well as with Sonography Canada, because the regulator's date governs registration even where Sonography Canada would still allow a sitting.

No fixed pass mark is stated in this guide, because Sonography Canada states none. The passing score varies and is determined using the Modified Angoff method, where experts estimate the expected performance level for each examination item, with equating used to adjust the passing score for future examination forms, so easier forms carry higher passing scores than more difficult ones. Scores are final and are not subject to adjustment, although a candidate who believes there has been an error in the scoring process may contact Sonography Canada about a review limited to verifying that the scoring process was conducted correctly. No question count, time limit per examination, or score-release window is stated in this guide, because no Sonography Canada page states them. Confirm the examination length, the result timing, and the current fees on the Sonography Canada certification pages before you plan around a sitting or pay anything.

You do not necessarily have to wait unemployed for a sitting, but the shape of any interim or graduate category is set by each regulator and must not be assumed. Saskatchewan's graduate practice licence and Nova Scotia's provisional licence are set out in Step 3, each with its own duration, supervision, and expiry rules. Ontario, Alberta, and Quebec interim categories, if any, are checks on the regulator pages, because no interim-licence page for those provinces could be verified. Confirm the category, the supervision it requires, the title you may use while holding it, and the expiry rules with the destination regulator, because a provisional or graduate licence is not the same as full registration, and in Nova Scotia a failed examination revokes the provisional licence.

Step 3: Register with the regulator where you will practise, or meet the employer credential requirement where sonography is not regulated

Registration is where the provincial split bites, and the split does not move with medical radiation technology regulation. Sonography regulation and MRT regulation are separate questions in every province that regulates both, and a province that regulates MRTs does not necessarily regulate sonographers, and vice versa. The regulated-province conflict in older secondary summaries must be stated, not silently resolved. Secondaries that named Ontario, Quebec, Saskatchewan, and Nova Scotia omitted Alberta. Sonography Canada's current certification FAQ page and Alternate Pathway page both name five regulated provinces, Ontario, Quebec, Nova Scotia, Saskatchewan, and Alberta, and the ACMDTT registration requirements page linked in Sources confirms Alberta's position by requiring registration and an active practice permit for diagnostic medical sonographers. This guide follows the five-province list from Sonography Canada's own pages. You must hold the credential and registration the destination jurisdiction requires before you practise there and use the title. The bodies, as named on the pages linked in Sources, are:

Ontario: College of Medical Radiation and Imaging Technologists of Ontario (CMRITO). The CMRITO regulates diagnostic medical sonography as one of its specialties, alongside radiography, radiation therapy, nuclear medicine, and magnetic resonance. Applicants must complete an approved training program in one of the specialties and successfully complete the examinations set by Sonography Canada in one of the areas of practice in diagnostic medical sonography, general, cardiac, or vascular, as the approved-educational-programs page states it. The CMRITO approved-examinations policy adds the integration rule for Ontario registration: from January 2027, one integrated examination per area of practice, with the non-integrated core-plus-specialty structure for applicants writing non-integrated examinations. The Ontario institutions currently providing CMRITO-approved programs are listed on that page, with sonography entries including general sonography, diagnostic cardiac sonography, and ultrasound specializations at named colleges and institutes. No fee amount, jurisprudence step, language test, or additional checklist item is stated in this guide for Ontario, because no CMRITO registration-requirements page could be verified: confirm the full checklist and the fee schedule on the CMRITO portal pages before you apply. Do not carry another province's checklist into an Ontario application, and do not assume that a Sonography Canada credential earned without CMRITO approval to write the examinations satisfies Ontario registration, because Sonography Canada's FAQ page directs candidates in regulated provinces to the regulator first.

Alberta: Alberta College of Medical Diagnostic and Therapeutic Technologists (ACMDTT). Registration is mandatory: to practise as a diagnostic medical sonographer in Alberta and use the protected titles, you must be registered with the College and hold an active practice permit, and you must not practise, work, volunteer, or take part in orientation or training until written confirmation and a permit have issued. The ACMDTT registration requirements page requires, for diagnostic medical sonographers, a copy of the Sonography Canada certification exam results letter indicating a pass, along with the corresponding certificate, and states there are no other ways to fulfil that requirement. It also requires: post-secondary education proved by official transcript or diploma; currency of practice, shown by graduation from an approved program within the past two years or relevant practice experience in the last five years, with the practice-hour figures a check on the ACMDTT pages, because no hour figure was stated on the page linked in Sources; English language proficiency, shown by graduation from an English-language approved program or an IRCC-approved English test at Canadian Language Benchmark level 7 or higher in each of the four abilities, taken within the last two years; good character, including a character declaration and verification of standing from other regulators; a criminal record check with vulnerable sector check no older than 90 days; current personal professional liability insurance, with employer-provided insurance expressly not accepted; and jurisprudence, shown by the College's Jurisprudence Education and the Alberta Federation of Regulated Health Professions Protecting Patients from Sexual Abuse and Misconduct course. Confirm the current application route and fee schedule on the ACMDTT applicants pages, because no fee amount is stated in this guide for Alberta.

Saskatchewan: College of Medical Radiation and Imaging Professionals of Saskatchewan (CMRIPS). To practise in Saskatchewan as a medical radiation and imaging professional, you must be registered as a practising member of CMRIPS. A full practice licence requires graduation from a CMRIPS Council-approved accredited Canadian educational program and a pass on the CAMRT national certification exam or the Sonography Canada national certification exam, plus: practice hours of a minimum of 1,200 MRIP practice hours in the primary discipline in the previous five years, or graduation from a Council-approved program within the preceding three years, or transfer with a full practice licence from another Canadian province or territory, with a second discipline requiring a minimum of 300 practice hours in the previous five years or the same graduation or transfer alternatives; professional liability insurance of at least 5,000,000 dollars per incident and 5,000,000 dollars per year; mandatory continuing education of a minimum of 10 credits per year; a criminal record check performed within the last three months; and completion of the College's jurisprudence course, six modules with a final 40-question multiple-choice exam passed at 75 percent or higher, with unlimited rewrites and no charge for the course. A graduate practice licence is available to a person who has completed a Council-approved program within the preceding three years, has registered to write the national certification exam, and has not yet passed it: it permits interim work under the direct supervision of a full practice member in the same discipline, may be issued for up to four months and renewed to a maximum of one year in total, and must be upgraded to a full practice licence on passing. Graduates of non-Canadian programs must first apply to CMRIPS as internationally educated MRIPs before applying for a licence. Confirm the fee amounts on the CMRIPS pages, because no fee amount is stated in this guide for Saskatchewan. Note the checklist wording on the CMRIPS page: several checklist lines say medical radiation technology where the full-practice definition and the graduate checklist name both medical radiation technology and diagnostic medical sonography, so confirm the sonography checklist wording with CMRIPS before submitting.

Nova Scotia: Nova Scotia College of Medical Imaging and Radiation Therapy Professionals (NSCMIRTP), also styled NSRMIRT on its own pages. The College licenses five disciplines, including diagnostic medical sonography, and requires Sonography Canada credentials to practise as a diagnostic medical sonographer in Nova Scotia, as the College's applicant pages state it. Applicants must have successfully completed an approved program in the specified discipline, checking the Accreditation Canada list, and successfully completed an entrance-to-practice examination, CAMRT, the OTIMROEPMQ examination for those who did their education in Quebec, or Sonography Canada. The remaining requirements on the registration requirements page are: government-issued photo ID and any name-change documentation; legal entitlement to work in Canada; English language proficiency in reading and writing; good character shown by a clean vulnerable sector check obtained within six months of application and a clear internet search; required clinical practice hours within the past five years, with the hour figure a check on the College's currency policy, because no hour figure was stated on the page linked in Sources; evidence of sufficient personal liability insurance; evidence of good standing if transferring from another regulated jurisdiction; and completion of the jurisprudence module and the associated exam. New graduates waiting to write the exam or awaiting results are eligible for a provisional licence, on proof of registration to write the exam and a signed supervision acknowledgement, and if they fail the exam the provisional licence is revoked and they may not practise until they pass, as the MRT guide records from the same College pages. The annual registration fee is 570 dollars and the initial application fee is 150 dollars, as stated on the College fees page linked in Sources, with the 2026 annual fee for a full practising licence stated as 570 dollars, a six-month-or-less rate of 285 dollars, and the application fee waived for those currently licensed in another regulated Canadian jurisdiction. Confirm the current fees and currency hours on the NSCMIRTP pages before you apply.

British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Prince Edward Island, and the territories have no sonography registration checklist stated in this guide, for the reasons in the FAQ above. British Columbia's position rests on the Allied Health Jobs BC page: current Sonography Canada and/or ARDMS certification or eligibility, specialty credentials for specialty practice areas, and graduation from an accredited program, as an employer and health-authority requirement, not a regulator checklist. No Manitoba, New Brunswick, Newfoundland and Labrador, Prince Edward Island, or territory regulator page for sonography could be verified, so any registration, association, or employer step in those jurisdictions is a check with the regulator, the association, or the employer, and the absence of a regulator page in this guide must never be read as the absence of a requirement. Moving provinces means applying to the new province's regulator or meeting the new employer's credential requirement. The program and the examinations are national in character, but registration is granted jurisdiction by jurisdiction, and the new regulator assesses the application under its own rules, including verification of registration and good standing from every jurisdiction practised in, criminal record checks at its own currency, and its own jurisprudence and insurance requirements. Labour mobility eases that process but does not remove the application. Pick the province first, check that regulator's program approval before applying to a program, and re-check it before moving. That order is what the whole system rewards.

Step 4: Quebec's route, planned separately, stated only from the OTIMROEPMQ linked pages

Quebec is the exception to plan around from the start, not a detail to discover after graduation. To practise in Quebec you need a permit from the OTIMROEPMQ, the professional order that governs medical imaging technologists, radio-oncology technologists, and medical electrophysiology technologists. The domestic Quebec route, stated only from the Order's exam information document and its internationally educated page, which also states the general permit mechanics, runs: complete a DEC giving access to the permit in medical sonography, imagerie médicale, échographie médicale, one of the five programs named in the exam document; write and pass the Order's admission exam; register on the Tableau of the Order and pay the annual dues; and take the oath, without which, as the Order states, a new member may not practise under any condition. The exam sittings are in June and November, the pass mark is at least 60 percent of 150 points, results show only pass or fail in the student's portal, with a personalized percentage report by competency on failure, and attempts are capped at four in total, with a fifth chance on written request with additional training. The exam fee is 1,133.65 dollars taxes included, as stated in the Order's fee summary and in its January 2023 exam document at 986 dollars plus taxes: confirm the current fee on the OTIMROEPMQ portal before paying, because the exam document is dated January 2023 and fees are stated there as subject to change without notice. Medical sonography examinations are in French only, with an English sitting available on at least 90 days' notice, and the exam runs on a single day except for medical sonography examinations, whose length is a check with the Order.

The French-language condition is the second gate, and it is stated only from the Order's pages. Under the Charter of the French language, every member of a professional order in Quebec must have sufficient knowledge of French, as the Order's page states it. The Order sets out three ways to meet the Office québécois de la langue française requirements without the OQLF exam: at least three years of full-time secondary or post-secondary instruction in French; success in the French mother-tongue exams of the fourth or fifth year of secondary level; or a Quebec secondary diploma. Otherwise the candidate must pass the OQLF French exam, covering oral expression, written expression, oral comprehension, and written comprehension, passing each activity in the same sitting, and send the attestation of success to the Order's admission service to obtain a regular permit. Where the OQLF requirements are not met, the Order issues a temporary permit valid for one year, renewable up to three times under conditions. The French requirement is not a formality to arrange after arrival: without the proof, at most a temporary permit is available, and it expires.

For a sonographer trained outside Canada, the Order's pages linked in Sources do not settle a sonography equivalence route, and that gap must be stated. The exam document's foreign-trained eligibility clause names radiodiagnosis, radio-oncology, and nuclear medicine as the domains for a diploma or training recognized as equivalent to the DEC, and does not name medical sonography in that clause. The internationally educated page states an equivalence process, top-up training, and an observation and integration stage of at least one month, 140 hours, for candidates in nuclear medicine, sonography, radio-oncology, and medical electrophysiology whose equivalence is accepted, with a fee summary totalling 2,858.90 dollars excluding AEC and top-up training fees. Whether a foreign-trained sonographer can enter that process on the same terms, and what additional training the admission committee prescribes, are checks with the OTIMROEPMQ, not settled steps in this guide. Do not assume Sonography Canada Alternate Pathway approval converts into a Quebec permit, and do not assume the June and November exam pattern, the DEC requirement, or the French proof can be waived by holding a Sonography Canada credential. For a technologist registered in another Canadian province, no OTIMROEPMQ other-province permit page could be verified, so the permit-on-permit steps, any additional training, and the examination position for a Sonography Canada-credentialed applicant moving to Quebec are checks with the OTIMROEPMQ. Start with the Order, not with another province's regulator, if Quebec is the destination.

Step 5: The territories, staying current, and the Alternate Pathway for candidates trained outside Canada

No territory regulator page could be verified, and this guide states no territory registration route. Sonography Canada's Alternate Pathway page groups the territories with unregulated provinces, where requirements for employment vary by location, and the FAQ page states the same employer-led position for unregulated provinces. Confirm with the territorial health authority or the employer what credential and examination evidence a territorial post requires before you assume a provincial registration is either necessary or sufficient, and hold a Sonography Canada credential if you want a credential that travels back to a regulated province. Do not carry a provincial route into a territory on assumption, and do not assume that the absence of a named territory regulator means no employer requirement applies.

Registration and credential maintenance are not one-time events. Sonography Canada credentials are maintained through membership in good standing and Continuing Professional Development: the Active Membership page states that a member who holds Sonography Canada credentials and wishes to maintain them must fulfil the Sonography Canada CPD requirements, with 40 credits required to complete the CPD triennium, and that the reporting process is simplified for members who are also registered with the CMRITO or hold ARDMS credentials, with proof of valid membership in good standing accepted in lieu of CPD certificates up to the 40-credit requirement. Active Membership costs 212 dollars for the membership period May 1 to April 30. Regulators separately require evidence of continuing competency and practice at renewal, and the cycles and hour requirements are published per regulator rather than nationally. Saskatchewan requires a minimum of 10 continuing education credits per year for maintaining membership and licensure, as its registration page states it. This guide states no renewal cycle, practice-hour figure, or continuing education figure for Ontario, Alberta, Quebec, or Nova Scotia, because none was verified on a regulator page linked in Sources. Do not carry one regulator's renewal numbers into another's, and do not assume a regulator's renewal rules are the same as its initial-registration rules. Check your own regulator's renewal page, and keep the record that renewal asks for, practice hours, continuing education, and proof of liability insurance, from the first year of practice, because reconstructing it later is the part that fails.

If you trained outside Canada, start with the regulator and the Alternate Pathway assessment, not with a school or an examination booking. The Alternate Pathway requires assessment and approval before a candidate is eligible to apply for the certification examinations, and approval covers only the examinations for which the candidate was assessed and approved. Those who plan to work in a regulated province should contact the provincial regulator before applying to the Alternate Pathway, as both the Candidate Guide and the Alternate Pathway page state it. The checklist documents include a resume, proof of international certification if applicable, graduation documents, an official transcript of theoretical education in diagnostic medical sonography equivalent to an accredited program, an employer letter confirming the last date of practice, duration of employment, and types of scans performed, and a 300-word summary of the current ultrasound workflow. The application fee is 750 dollars plus HST for a first credential and 150 dollars plus HST for an additional credential, and processing can take up to six weeks. After approval, the candidate completes the written examinations, then the CCSA, within the timeframe the current Eligibility Policy states, with the four-attempt limit per examination. There is no sonography-specific foreign-credentials guide on this site; the general foreign-credentials guide linked below is the starting point, and the regulator's and Sonography Canada's internationally educated pages govern the route. A bridging course for internationally educated sonographers with recent education and experience is mentioned on the Alternate Pathway page as preparation for the CCSA; no bridging-course page could be verified, so its content, cost, and availability are checks on Sonography Canada's pages, not statements in this guide.

Medical radiation technology: the boundary to respect before you plan around ultrasound

Medical radiation technology is the one neighbouring field where a Sonography Canada credential must not be assumed to be the whole credential, and where an MRT certificate must not be assumed to qualify a person in sonography. The CAMRT certifies four disciplines only: radiological technology, nuclear medicine, radiation therapy, and magnetic resonance. Sonography Canada states it is the official credentialing body for diagnostic medical sonographers in Canada, granting the CRGS, CRCS, and CRVS credentials, and the CMRITO regulates sonography as its own specialty with Sonography Canada examinations, while the CAMRT does not examine in it at all. Accreditation Canada lists diagnostic medical sonography as its own program family, separate from the four MRT families, and none of its 39 sonography rows is counted in the MRT program count in the companion MRT guide. The overlap is regulatory, not professional: in Ontario, Saskatchewan, and Nova Scotia the same regulator or college covers both MRT and sonography, but under separate exam routes and separate credentials, and in Alberta the ACMDTT regulates MRTs, diagnostic medical sonographers, and electroneurophysiology technologists under separate examination requirements. That shared regulator does not merge the professions: an MRT certification in radiological technology, nuclear medicine, radiation therapy, or magnetic resonance does not qualify a person in sonography, and a Sonography Canada credential does not qualify a person as an MRT. A magnetic resonance program is not a sonography program either, and a sonography program row must never be counted in an MRT program count. The practical rule is simple: if the post, the machine, or the examination is ultrasound, the credential to check is the Sonography Canada credential and the accredited sonography program behind it, not a CAMRT certificate in another discipline. Do not enrol in an MRT program expecting it to qualify you in sonography, do not count a sonography program row in the MRT program count, and do not carry MRT exam attempts, fees, or sitting dates into a sonography plan. State the check by naming the Sonography Canada pages and the destination regulator, and resolve it before the first ultrasound post, not after.

Before you spend anything: the checks that save a year

First, choose the credential area before the program, and confirm that the program you intend to enter is listed by Accreditation Canada for diagnostic medical sonography in that area, with a status that will still satisfy the destination regulator at your graduation date, because a program in a neighbouring area at the same institution is a different credential, and an Admitted or Accredited with Condition entry carries a status risk the list itself warns about. Second, confirm the CCSA position for the program, including whether an Admitted program will reach Accredited or Accredited with Condition status before your completion date, because an unrecognized CCSA cannot be cured by passing the written examinations. Third, confirm which examination to book for your sitting, integrated or core-plus-specialty, on the Sonography Canada dates page and the destination regulator's approved-examinations page, because the January 2027 transition leaves Core wording on the January sitting table. Fourth, confirm the per-examination fees on the Sonography Canada fees page on the day you apply, because this guide states only the 150-dollar non-refundable application processing fee and the Alternate Pathway application fees, and the only per-examination figures on the linked pages are from 2019. Fifth, confirm the full registration checklist, including any jurisprudence step, language proficiency, criminal record check currency, liability insurance amount, and currency-of-practice evidence, on the destination regulator's own page, because only Alberta, Saskatchewan, and Nova Scotia checklists are stated in this guide from linked pages, and Ontario, Quebec, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Prince Edward Island, and the territories are credential, permit, employer, or check positions. Sixth, resolve the Quebec question before you plan: if you intend to practise in Quebec, confirm the recognized DEC program, the Order's admission exam, the Tableau registration and oath, and the French-language proof with the OTIMROEPMQ, and do not plan on a Sonography Canada sitting for Quebec until the Order confirms it has any role. Seventh, resolve the sonography-versus-MRT question before you enrol: if ultrasound is the goal, follow the Sonography Canada route from an accredited sonography program, because MRT certification does not cover it, and if an MRT discipline is the goal, follow the companion MRT guide instead. Eighth, if you trained outside Canada, stop and follow the Alternate Pathway assessment route for your intended province, starting with the regulator, because the domestic steps do not assess foreign education or training, and confirm the current Eligibility Policy timeframe and fee before submitting anything.

What this guide could not verify

This guide states no wage or salary figure for diagnostic medical sonographers in any province or territory. It states no tuition figure for any program. It states no program count beyond the 39 rows counted by name on the Accreditation Canada list last updated October 30, 2026, no seat count, quota, application count, or admission statistic, and no admission grade threshold or prerequisite list, because no program page could be verified as the governing source for those figures. It states no per-examination fee figure for the Core, Generalist, Cardiac, or Vascular examinations, because no current Sonography Canada fee page could be verified and the only per-examination figures on the linked pages are from a November 2019 Candidate Guide that conflicts with the current 150-dollar application processing fee. It states no registration fee, licence fee, application fee, or association membership fee, other than the Sonography Canada application processing fee, the Alternate Pathway application fees, the Sonography Canada Active Membership fee, and the Nova Scotia registration fees stated from linked pages, because fees change by schedule and the body that charges the fee owns the figure. It states no fixed Sonography Canada pass mark, question count, examination time limit, or score-release window, because no Sonography Canada page states them, and the pass standard is set per examination form by the Modified Angoff method. It states no Alternate Pathway eligibility threshold beyond the checklist documents and fees on the linked pages, no bridging-course content, cost, or availability, and no detailed Alternate Pathway timeframe beyond the January 2026 Candidate Guide's five-year statement with the older four-year wording flagged as superseded, because no Alternate Pathway Eligibility Policy page could be verified. It states no Ontario registration checklist or fee, no Alberta fee amount or practice-hour figure, no Nova Scotia currency hour figure, no Quebec current examination fee beyond the January 2023 document figure with a confirm-current instruction, no Quebec sonography sitting length, and no foreign-trained sonography equivalence route beyond the gap stated in Step 4, because no such page could be verified. It states no Manitoba, New Brunswick, Newfoundland and Labrador, Prince Edward Island, or territory registration route, because no regulator page for sonography in those jurisdictions could be verified. It states no British Columbia registration checklist, because no British Columbia regulator page could be verified, and the BC position rests on the Allied Health Jobs BC employer page. Where a figure is left out, the guide points to the page that owns it instead of carrying a secondary source's number. Confirm every fee, deadline, attempt rule, program status, examination requirement, and registration step on the school, Sonography Canada, OTIMROEPMQ, or regulator page that owns it, on the day you apply or pay.

Related guides:

• How to Become a Medical Radiation Technologist in Canada — the neighbouring profession under CAMRT: the domestic route into medical radiation technology, with its own accredited programs, certification examination, and provincial registration. Read this only if medical radiation technology, not sonography, is your goal, and read its sonography boundary section before you choose between the two professions.
• How to Start Getting Your Foreign Credentials Recognized in Canada — the general newcomer starting point for credential recognition across professions, for internationally educated sonographers who need the Alternate Pathway assessment route. There is no sonography-specific foreign-credentials guide on this site.
• How to Become a Respiratory Therapist in Canada — a different regulated health profession: the domestic route into respiratory therapy, with its own accredited programs and provincial steps. Read this only if respiratory therapy, not sonography, is your goal.

Sources

• Sonography Canada, "Certification FAQs" — examinations administered three times per year; mandatory application processing fee of $150, non-refundable; program eligibility through Accredited or Accredited with Condition status; regulated provinces named as Ontario, Quebec, Nova Scotia, Saskatchewan, and Alberta, with employer-determined requirements in unregulated provinces; credential requires both knowledge-based examinations and the CCSA; Core and specialty examination naming in the practice-examination and eligibility answers.
• Sonography Canada, "Examinations — Credentialling Eligibility Policy – Canadian Accredited Sonography Program Graduates", Policy SC-CT-007, approved Fall 2025 — credential consists of knowledge-based examinations and the CCSA, both required; CCSA completed during the program with results forwarded before examination eligibility; Admitted programs must reach Accredited or Accredited with Condition status before program completion for the CCSA to be valid; all credentialing examinations within five years of program completion, maximum four attempts of each of the Generalist, Core, Cardiac, or Vascular exams; re-qualification through an accredited program with no credit for prior examinations or CCSAs; regulator eligibility may supersede the policy in regulated jurisdictions.
• Sonography Canada, "Candidate Guide — Preparation for the Entry-to-Practice Examinations in Generalist, Cardiac and Vascular Sonography", January 2026 — credentials CRGS, CRCS, and CRVS; two written exams, Core and credential-specific, changing in January 2027 when Core content is integrated into the credential-specific examination; computer-based multiple-choice examinations with images or video clips, remote proctoring or test centres, one minute per question, built-in calculator; four attempts per examination, five years for accredited-program graduates and five years from last clinical practice or education completion for Alternate Pathway candidates; examination fees in Canadian dollars subject to change and to HST, mandatory application fee non-refundable; Core and Generalist examinations in English and French, Cardiac and Vascular in English only; Modified Angoff pass-score method with equating; language fluency recommendations for candidates writing in English.
• Sonography Canada, "Exam Dates, Registration Periods, and Schedule" — 2027 sittings January 13 to 15, May 12 to 13, and September 8 to 9, 2027, with registration periods, withdrawal dates, day patterns, 2 p.m. Eastern cut-off, and 8 a.m. to 7 p.m. Eastern scheduling window; all dates subject to change.
• Sonography Canada, "Entry-to-Practice Exams" — CCSA as the clinical component measuring entry-level clinical competence; CCSA Version 7.0 effective September 1, 2026 for accredited-program candidates and January 1, 2027 for Alternate Pathway candidates; Alternate Pathway CCSA as a one-day, approximately eight-hour assessment under two credentialed assessors, with no exemptions, and scheduling responses taking up to six weeks subject to the waitlist.
• Sonography Canada, "Alternate Pathway Applicants" — Alternate Pathway for those without an accredited Canadian sonography program, including internationally credentialed or trained professionals and those seeking additional credentials; application assessed under the Eligibility Policy, up to six weeks to process; regulated provinces named as Ontario, Nova Scotia, Saskatchewan, Alberta, and Quebec, with the regulator to be approached first; CCSA after passing the written examinations; bridging course mentioned for internationally educated sonographers.
• Sonography Canada, "Alternate Pathway Applicants Required Documents Checklist", May 2026 — application fee 750 dollars plus HST for a first credential and 150 dollars plus HST for an additional credential; required documents including resume, proof of international certification, graduation documents, official transcript, employer letter, and 300-word workflow summary.
• Sonography Canada, "Credentials" — three credentials CRGS, CRCS, and CRVS with the anatomy each covers; limited CRS credential in abdomen or obstetrics and gynecology no longer obtainable; designations reserved for certified members in good standing; employers routinely require Sonography Canada credentials.
• Sonography Canada, "Active Membership" — Active Membership prerequisites; credentials maintained through Continuing Professional Development, 40 credits required to complete the CPD triennium, with simplified reporting for CMRITO-registered or ARDMS-credentialed members; Active Membership fee 212 dollars, membership period May 1 to April 30.
• Sonography Canada, "Practice Exams" — one practice exam each for Core, Generalist, Cardiac, and Vascular examinations; 35 multiple-choice questions, 35-minute limit, fee 50 dollars per practice exam; Core and Generalist available in English and French, others in English only.
• Accreditation Canada, "Educational Programs" — list of educational programs, last updated October 30, 2026; status definitions for Accredited, Accredited with Condition, and Admitted; diagnostic medical sonography program rows counted for this guide: 39 Canadian rows in total, 17 Accredited, 9 Accredited with Condition, and 13 Admitted, with no rows in Quebec, New Brunswick, Prince Edward Island, Saskatchewan, or the territories.
• Employment and Social Development Canada, Job Bank, "Job requirements — Sonographer - Medical near Toronto (ON)", applicable to all Medical sonographers, National Occupational Classification 32122 — three- to four-year program in diagnostic medical sonography or ultrasound technology, or two- to three-year related allied health program plus a one-year post-diploma program from an accredited institution; registration with Sonography Canada and/or ARDMS usually required by employers; OTIMROEPMQ registration required in Quebec and Ontario college registration required in Ontario, in the page's older naming.
• College of Medical Radiation and Imaging Technologists of Ontario, "Approved Educational Programs" — registration with CMRITO required to work in Ontario; approved program plus CAMRT examinations for MRT specialties or Sonography Canada examinations in general, cardiac, or vascular diagnostic medical sonography; Ontario institutions providing CMRITO-approved programs listed there.
• College of Medical Radiation and Imaging Technologists of Ontario, "Approved Policy 13.1 — Examinations", amended March 20, 2026 — diagnostic medical sonography examinations by OTIMROEPMQ or Sonography Canada; from January 2027 Sonography Canada integrated the core examination into the area-of-practice examinations, with one integrated examination per area, and the non-integrated core-plus-specialty structure for applicants writing non-integrated examinations.
• Alberta College of Medical Diagnostic and Therapeutic Technologists, "Registration Requirements" — mandatory registration and active practice permit for MRTs, diagnostic medical sonographers, and electroneurophysiology technologists; for DMS, Sonography Canada certification exam results letter and certificate, with no other ways to fulfil the requirement; currency of practice, English proficiency at CLB 7, good character, criminal record check within 90 days, personal professional liability insurance with employer-provided insurance not accepted, and jurisprudence requirements as stated in Step 3.
• College of Medical Radiation and Imaging Professionals of Saskatchewan, "Registration" — practising membership required; full practice licence for graduates of Council-approved accredited Canadian programs who passed the CAMRT or Sonography Canada exam, with 1,200 practice hours in five years or graduation within three years or transfer, second-discipline 300 hours, 5,000,000-dollar liability insurance, 10 continuing education credits per year, criminal record check within three months, and jurisprudence course with 40-question exam at 75 percent; graduate practice licence for up to four months renewable to one year under direct supervision; non-Canadian graduates must first apply as internationally educated MRIPs.
• Nova Scotia College of Medical Imaging and Radiation Therapy Professionals, "Registration Requirements" — approved program checked against the Accreditation Canada list; CAMRT, OTIMROEPMQ for Quebec-educated applicants, or Sonography Canada examinations; photo ID, work entitlement, English proficiency, vulnerable sector check within six months, clinical practice hours within five years, liability insurance, good standing on transfer, and jurisprudence module.
• Nova Scotia College of Medical Imaging and Radiation Therapy Professionals, "Registration and Application Fees" — non-refundable application fee 150 dollars, waived for those licensed in another regulated Canadian jurisdiction; 2026 annual fee for a full practising licence 570 dollars, six-month-or-less rate 285 dollars, with the stated waiver and new-graduate provisions.
• Allied Health Jobs BC, "Diagnostic Medical Sonographers" — Sonography Canada as the credentialling body and national voice for diagnostic medical sonographers; to work in BC, current certification with Sonography Canada and/or ARDMS or eligibility for membership, specialty credentials for specialty practice areas, and graduation from an accredited program; Sonography Canada credentials listed as CRGS, CRCS, and CRVS with Core and specialty pairings.
• Ordre des technologues en imagerie médicale, en radio-oncologie et en électrophysiologie médicale du Québec, "Renseignements sur l'examen d'admission à la profession", January 2023 — Quebec-educated eligibility through a DEC in one of five programs including medical sonography; two sittings a year in June and November, single day except sonography, 9:00 to 11:15 and 12:15 to 14:30; exam fee 986 dollars plus taxes, 1,133.65 dollars taxes included; sonography examinations in French only with an English sitting on at least 90 days' notice; 150 multiple-choice questions, 2.25 hours per half; pass mark at least 60 percent of 150 points; results as pass or fail only; maximum three retakes, four attempts in total, with a fifth chance on written request with additional training.
• Ordre des technologues en imagerie médicale, en radio-oncologie et en électrophysiologie médicale du Québec, "Diplômés à l'international" — sufficient knowledge of French required for every member of a professional order in Quebec under the Charter of the French language, with OQLF routes and examination stated there; regular permit where OQLF requirements are met and temporary one-year permit renewable up to three times otherwise; equivalence analysis within three months for a complete file; top-up training plus a stage of at least one month and 140 hours for sonography and other domains; exam sittings in June and November with four chances; oath mandatory before practising; fee summary including admission exam 1,133.65 dollars and total 2,858.90 dollars excluding AEC and top-up training fees.