A flowchart that shows the steps involved in the contact CTO Program Manager for CTO stream account and study discussion. It is divided into four sections. The first section is titled "Lead site submits CTO Provincial application and Provincial consent forms & participant documents". The second section is labeled "CTO selects a Qualified REB of Record". The third section is "Provincial Application & Provincial Consent forms & Participant documents are approved". The fourth section is labelled "CHEO site participation". There are four steps in the flowchart, each with a brief description of the steps. The first step is to submit the CTO application to the provincial government and the following steps are: - Lead site submitts CTO (CTO) provincial application and provincial consent forms and participant documents. The following steps include: - Approvalment of a complete application to P1 and to the institutional representative - Application submitted to CTO Stream - Prepare a CHEO centre application in CTO streams and a board of record At the bottom of the chart, there is a note that reads "Apply for a CTO certificate of completion". This indicates that the process is in progress and that the application is ready to be completed.

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