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NOC 33109: Other assisting occupations in support of health services

Official definition ยท Statistics Canada NOC 2021 v1.0 ยท statcan.gc.ca โ†—

Other assisting workers in support of health services provide services and assistance to health care professionals and other health care staff. They are employed in hospitals, medical clinics, offices of health care professionals, nursing homes, optical retail stores and laboratories, and medical pathology laboratories.

Median Pay$23/hrPrevailing median rate
TEER LevelLevel 3Express Entry pool
Priority StreamHealthcare PriorityCategory draws
Official Titles114 TitlesGovernment aliases
Interactive Reference Letter Tool

Official Main Duties for NOC 33109

Select the duties you perform in your actual job. Under IRCC guidelines, you must perform at least 60% of these duties for a successful work permit or PR reference letter.

114 official aliases
Checklist (43 official duties):Click each to toggle
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IRCC Reference Letter Rule:

Your employer reference letter must confirm you performed the main actions described in the duties above. Avoid copying words directly from the NOC description โ€” officers expect natural job descriptions with specific company context.

Live Match Scoreโš  Needs 26 More
0%
0 of 43 selected
0%60% Recommended100%
Below 60% Target (0%)To qualify for NOC 33109, your employer letter should verify at least 26 main duties. Select 26 more to see if your experience matches.
Minimum Needed26 Duties
Current StatusIncomplete

Canadian Labour Market & PR Pathways for NOC 33109

Under Canada's National Occupational Classification (NOC 2021 Version 1.0), Other assisting occupations in support of health services is categorized under TEER 3. Occupations in this tier typically require completion of a 2- to 3-year post-secondary diploma, apprenticeship training, or specialized technical certifications.

Express Entry Alignment

Qualifies directly for the Federal Skilled Worker (FSW) and Canadian Experience Class (CEC) under Express Entry. Work experience must be full-time (or equivalent part-time) and continuous for at least one year.

Target Category Status

Designated under IRCC's Healthcare Priority Stream โ†’. Candidates with 6 months of qualifying Canadian or foreign experience in this NOC can receive Invitations to Apply (ITAs) at significantly lower CRS cutoff thresholds.

NOC 2016 to NOC 2021 Transition & Equivalency

Open Full NOC Converter Toolโ†’

Under Canada's previous NOC 2016 classification, this occupation was mapped under the following 4-digit code(s). When preparing your Express Entry profile or work reference letters, you must use the new 5-digit code NOC 33109.

Former NOC 32374-Digit Legacy
Other technical occupations in therapy and assessment
RC5 - Transfer

3237 continues as 32109 and part transferred to 33109

Former NOC 34144-Digit Legacy
Other assisting occupations in support of health services
RC4.2 - Split off

3414 continues as 33109 and part transferred to 32109 and part split off to emerging item 33103

Job Bank Open Data (2025/2026)

Regional Wages Across Canada

Legal Benchmark for LMIA

Under Canadian immigration law, an employer hiring you under an LMIA must pay you at least the median wage listed below for your province.

Province / TerritoryLow WageMedian WageHigh Wage
Canada (National Average)$18$23/hr$29.81
Newfoundland and Labrador โ†’$16/hr$22/hr$25/hr
Prince Edward Island โ†’$16.5/hr$25/hr$38/hr
Nova Scotia โ†’$16.5/hr$24/hr$25/hr
New Brunswick โ†’$18.65/hr$23/hr$28/hr
Quebec โ†’$17/hr$23/hr$26/hr
Ontario โ†’$18/hr$22/hr$30.47/hr
Manitoba โ†’$16.5/hr$20/hr$24.84/hr
Saskatchewan โ†’$15.87/hr$22.83/hr$26/hr
Alberta โ†’$20/hr$22.5/hr$29.81/hr
British Columbia โ†’$18/hr$25/hr$29.07/hr
Yukon โ†’$18.44/hr$27.12/hr$42.41/hr

๐Ÿ™๏ธTop Metropolitan Cities Wage Rates (ESDC 2025/2026)

Economic Region Benchmarks

Official ESDC prevailing median wages across major Canadian metropolitan regions. Crucial for LMIA prevailing wage compliance and local job offer evaluations.

Montrรฉal
$24.43/hr
$20.05 - $32
Ottawa
$24/hr
$19 - $37.72
Toronto
$22.04/hr
$18.13 - $29.23
Calgary
$24.55/hr
$18.86 - $32.3
Edmonton
$22.34/hr
$19 - $26
Vancouver
$26/hr
$18 - $30.06

Employment Requirements

These are the education, training, and certification standards usually required by Canadian employers for this occupation:

  • Audiometric technicians usually require a specialization in industrial audiometry testing.
  • Orthopedic technologists usually require completion of secondary school and several months of on-the-job training or a college orthopedic technologist program.
  • Registration with the Canadian Society of Orthopaedic Technologists is available and may be required by employers.
  • Ophthalmic assistants require completion of a six to twelve month ophthalmic assistants college program or a minimum ofย one year of on-the-job training under the supervision of an ophthalmologist, and completion of an approved ophthalmic assistant home study program.
  • Certification by the Joint Commission on Allied Health Personnel in Ophthalmology may be required by employers.
  • Health care courses or short-term college programs related to the work of medical therapy aides, ย such as recreational therapy programs, are available and may be required by employers.
  • Sterile processing technicians require completion of secondary school and a six- to nine-month sterile processing college program.
  • Completion of secondary school and several months of on-the-job training are usually required for other assisting occupations in this unit group.

Official Job Titles for NOC 33109

114 Titles Listed

If your current job title matches any of these official examples, this NOC code is likely the right choice for your Express Entry reference letter:

audiometric assistantaudiometric technicianautopsy assistantblood donor clinic assistantcast room technicianchiropractic assistantclinical laboratory helpermedical device reprocessing technicianmorgue attendantophthalmic assistantophthalmic laboratory technician - retailophthalmic lens grinderophthalmologist assistantoptical laboratory assistantoptometrist assistantorthopedic technologistrehabilitation aidetherapy aideactivationist - health support servicesactivities coordinator - health support servicesactivity aide - health support servicesactivity leader - seniorsactivity worker - health support servicesacupuncture assistantacupuncture attendantadjuvantaudiometric aideautopsy attendantautopsy technicianblood donor clinic attendantblood donor clinic helperblood sampling attendantcentral service room worker - hospitalcentral supply aidecentral supply aide - medicalcentral supply room supervisor - hospitalcentral supply room technician - hospitalcertified ophthalmic assistantchiropractic aidechiropractic health assistantchiropractic office assistantchiropractor aideclinic assistant - medicalemergency room attendantemergency-entry attendant - hospitalfracture room attendanthealth aideherbal medicine assistantindustrial audiometric technicianinstrument sterilizer - medicallens grinder-polisher setterlens marker - health support serviceslens marker - ophthalmicmedical clinic assistantmedical device reprocessormedical instrument sterilizermedical material handlermorgue technicianoccupational therapy aideoccupational therapy helperophthalmic goods antireflection (AR) coating technicianophthalmic goods bench workerophthalmic goods lens coating technicianophthalmic goods lens cutterophthalmic goods lens tinterophthalmic lab technician - retailophthalmic lens bench workerophthalmic lens cutterophthalmic lens edge grinderophthalmic lens grinder and polisherophthalmic lens grinder-polisher setterophthalmic lens inspectorophthalmic lens markerophthalmic medical assistantoptical and ophthalmic goods lens pickeroptical goods inspectoroptical lab mechanic - retailoptical laboratory technicianoptical laboratory technician - retailoptical lens grinder and polisheroptical lens inspectoroptical mechanicoptical technicianoptometric assistantoptometric technicianorthopedic assistantorthopedic physician assistantorthopedic supervisororthopedic technicianorthopedist aidephysical therapy attendantphysiotherapy attendantphysiotherapy helperphytotherapy assistantplaster room aideplaster room attendantpolishing pad mounterpost-mortem attendantradiology aiderecreation aide - health servicesrecreation therapist aiderecreational therapy aideregistered central service technician - medicalregistered orthopedic technologistsenior adjuvantsterile processing techniciansterile processing workersterile supply room attendantsterilization attendantsterilization processing attendantsupply, processing and distribution aide - medicalsurgical assistantsurgical assistant - non-nursingsurgical technician - non-nursing

Exclusions (Similar Jobs with Different Codes)

Check this list to make sure your actual job is not classified under one of these related codes:

  • Medical laboratory assistants and related technical occupations (See 33101 Medical laboratory assistants and related technical occupations)View NOC 33101โ†’
  • Medical technologists and technicians (See 3212 Medical technologists and technicians)
  • Operating room technician (See 32101 Licensed practical nurses)View NOC 32101โ†’
  • Other technical occupations in therapy and assessment (See 32109 Other technical occupations in therapy and assessment)View NOC 32109โ†’
  • Pathologists' assistant (See 31303 Physician assistants, midwives and allied health professionals)View NOC 31303โ†’

Frequently Asked Questions for NOC 33109 (Other assisting occupations in support of health services)

Essential answers regarding Express Entry eligibility, LMIA prevailing wage compliance, and official reference letter rules.

Yes. Because NOC 33109 is classified as TEER 3, it qualifies for the Federal Skilled Worker Program (FSW) and Canadian Experience Class (CEC) under Express Entry.
For an LMIA work permit, your employer must offer at least the median wage of $23/hr (or the prevailing median rate in your specific Canadian province of employment).
Under Section 75(2) of the Immigration and Refugee Protection Regulations (IRPR), your employment reference letter must confirm you perform the actions in the lead statement and a substantial number (recommended at least 60%) of the official main duties listed above. You do not need to perform 100% of the duties.
Under Canada's previous NOC 2016 classification, Other assisting occupations in support of health services was categorized under NOC 3237 (Other technical occupations in therapy and assessment) and 3414 (Other assisting occupations in support of health services). In NOC 2021, it transitioned to NOC 33109 under TEER 3.
According to official ESDC Job Bank benchmarks, the prevailing median rate for NOC 33109 is $24.43/hr in Montrรฉal, $24/hr in Ottawa, $22.04/hr in Toronto, $24.55/hr in Calgary, $22.34/hr in Edmonton.
No. You do not need a provincial medical or nursing license just to submit your Express Entry profile or receive an Invitation to Apply (ITA). However, you must complete foreign credential evaluation (ECA) and will need licensing after landing in Canada to practice clinically.
Next Steps for NOC 33109

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Last verified: September 2026