Kustka, Sonja Sophia

 As from 12:01 a.m., May 3, 2022, by order of the Inquiries, Complaints and Reports Committee of the College of Physicians and Surgeons of Ontario, the following terms, conditions and limitations are imposed on the certificate of registration held by Dr. Sonja Sophia Kustka: 

Practice Restriction 

(1)	Dr. Kustka shall not provide medical exemptions in relation to mask requirements for COVID-19; and

(2)	Dr. Kustka shall not prescribe ivermectin.

Posting a Sign and Translations 

(3)	Dr. Kustka shall post a sign in all waiting rooms, examination rooms and consulting rooms, in all Practice Locations, in a clearly visible and secure location, at all times whether or not she is physically present at the Practice Location, in the form set out at Schedule "A." If providing care in a virtual setting, Dr. Kustka shall display the sign to the patient at the outset of the patient encounter. If the patient encounter is by telephone, Dr. Kustka shall read the sign to the patient at the outset of the patient encounter. For further clarity, this sign shall state as follows: "Dr. Kustka must not provide medical exemptions in relation to COVID-19 mask requirements. Dr. Kustka must not prescribe ivermectin. Further information may be found on the College of Physicians and Surgeons of Ontario website at www.cpso.on.ca".

(4)	Dr. Kustka shall post a certified translation(s) in any language(s) in which she provides services, of the sign described in 
(3) above, in all waiting rooms, examination rooms and consulting rooms, in all of her Practice Locations, in a clearly visible and secure location, in the form attached hereto as Schedule "A". 

(5)	Dr. Kustka shall provide the certified translation(s) described in (4) above to the College within 30 days of the date of this Order;

(6)	The College may accept an alternative arrangement with respect to signage in a hospital setting, in its sole discretion.
Notification of Practice Locations

(7)	Dr. Kustka shall inform the College of each and every location at which she practices including, but not limited to, hospital(s), clinic(s), office(s) and virtual care setting(s) in any jurisdiction (collectively the "Practice Location(s)"), within five (5) days of this Order.  Going forward, she shall inform the College of any and all new Practice Locations within five (5) days of commencing practice at or accepting patients from that location.
Monitoring

(8)	Dr. Kustka shall, within fourteen (14) days of the date of this Order, provide to the College her irrevocable consent in the form attached at Schedule "B" for the College to make appropriate enquiries of the Ontario Health Insurance Plan ("OHIP"), to monitor her compliance with the terms of this Order.

(9)	Dr. Kustka shall maintain a log of all professional encounters with patients, including both in-person encounters and encounters in a virtual setting, in the form attached at Schedule "C" ("Patient Log"). Dr. Kustka shall include in the Patient Log the name of each patient with whom she has a professional encounter and the date of the encounter; the patient's date of birth; the reason for the visit; and the type of visit (i.e., telemedicine or in-person).

(10)	Dr. Kustka shall provide a copy of the Patient Log to the College every two (2) weeks, or at any other time as requested by the College. 

(11)	Dr. Kustka shall submit to, and not interfere with, unannounced inspections of her Practice Locations and to inspections of patient charts by the College and to any other activity the College deems necessary in order to monitor Dr. Kustka's compliance with the terms of this Order.

(12)	Dr. Kustka shall consent to the College providing the Order to any Chief(s) of Staff, or a colleague with similar responsibilities, at any Practice Location where she practices or has privileges ("Chief(s) of Staff"), and to provide said Chief(s) of Staff with any information the College has that led to this Order and/or any information arising from the monitoring of her compliance with this Order.