Start Your Surrey Home Health Care Services Business
This page provides a practical, step-by-step overview for starting a Home Health Care Services business in Surrey under NAICS 621610. It outlines the 8 requirements you’ll need to meet and walks you through the permits and licenses you’ll require to operate legally. You’ll also get a realistic look at setup costs and a clear timeline so you can plan confidently from day one.
What you’ll learn includes a concise requirements overview (eight essential steps), the permits and licenses you must obtain, typical startup costs, and a practical timeline from business registration to your first client visit. We’ll touch on registering your company, securing required insurance, background checks for caregivers, privacy and patient record compliance, and any local Surrey zoning or health authority permits. With this, you’ll be ready to move from idea to compliant, patient-focused home health care service.
Why Surrey? The city’s growing demand for in-home care, strong healthcare network, and proximity to Vancouver create a solid opportunity for a home health care agency. Surrey also offers relatively approachable costs and a supportive business climate, making it a smart place to launch your service under NAICS 621610.
Requirements Overview
The most critical requirement for operating a home health care service in Surrey is BC Healthcare Professional Registration (Regulatory Colleges). This registration is legally required for anyone delivering health care services in British Columbia, and you cannot legally operate without it. It’s non-negotiable: you must have current, valid registration with the appropriate regulatory college before you begin caring for clients.
Beyond registration, there are mandatory operational requirements to keep the business compliant and safe. If you’ll administer medications, you’ll need a Controlled Drugs and Substances Authorization. You and your staff must have WorkSafeBC coverage and registration to protect workers. You’ll also need a Surrey business licence to operate locally, and if you’re using a specific business name, register BC Business Name Registration for a sole proprietorship or partnership to keep things above board.
Business Registration & Tax: You’ll need a federal Business Number (BN) to interact with government programs. Depending on your revenue, you’ll also need GST/HST Registration, and if you hire employees, Payroll Deductions Registration will be part of your payroll setup. Registered business name (as noted) helps with invoicing and tax collection, and you’ll tie everything together through your BN.
Next steps: Start by confirming your regulatory college status, then move through the registrations in a practical order—BN first, then GST/HST and payroll, then business name and local licence. Gather documents, set up your accounts, and consider a quick chat with a small business advisor to tailor the plan for your Surrey home health care service.
Detailed Requirements
Here are the specific requirements for starting a home health care services in Surrey:
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Business Number (BN) Registration RequiredA 9-digit Business Number is required for most businesses operating in Canada. It is used to interact with the Canada Revenue Agency and other federal programs. Required for GST/HST, payroll, corporation income tax, and import/export accounts. Register FREE online through Business Registration Online (BRO) at canada.ca. Takes 15-30 minutes. As of November 3, 2025, online registration is MANDATORY for new BNs - phone registration no longer available. You'll need: business name, address, owner SIN, business type, and start date. BN (9-digit number) issued INSTANTLY online. Available 21 hours/day, 7 days/week (closed 3-6am ET for maintenance).
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Controlled Drugs and Substances Authorization RequiredHealthcare practitioners and facilities handling controlled substances (narcotics, benzodiazepines) must be authorized and licensed under federal regulations. Includes secure storage, record-keeping, and reporting requirements. Health Canada Controlled Drugs and Substances Act (CDSA) authorization. Dealer license for controlled substances. Pharmacies: provincial licensing. Hospitals: authorization. Narcotics: strict requirements. Monthly reporting. Security requirements. Contact Health Canada Controlled Substances: 1-866-358-0453.
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Business Licence RequiredGeneral business licence required to operate a business in City of Surrey. Apply to City of Surrey for Business Licence: 1. Determine business category 2. Complete business licence application 3. Submit required documents (ID, lease, zoning confirmation) 4. Pay application and annual fees 5. Await approval and receive licence Contact City of Surrey Business Licensing for specific requirements. Home-based businesses may have different requirements. Annual renewal required.
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BC Healthcare Professional Registration (Regulatory Colleges) RequiredRegistration with appropriate BC health professional regulatory college for physicians, nurses, pharmacists, dentists, and other regulated health professionals Healthcare professionals must register with their regulatory college. Physicians: CPSBC (~$1,900/year). Nurses: BCCNM (~$672/year for RN). Pharmacists: CPBC. Dentists: CDSBC. Each college has education, exam, and background requirements. Register through college websites. Processing varies by profession and pathway.
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BC Business Name Registration (Sole Proprietorship/Partnership) RequiredRegistration of sole proprietorship or partnership business names with BC Registries Register sole proprietorship or partnership at bcregistry.gov.bc.ca. Name reservation: $30 (standard) or $100 (priority 1-2 days). Registration fee: $40. Total: ~$70. Name reserved for 56 days after approval. Registration is continuous (no renewal required). No name protection for sole proprietorships. Personal names operating under own name do not require registration. Contact BC Registries: 1-877-526-1526.
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GST/HST Registration ConditionalRequired if annual taxable revenue exceeds $30,000 (small supplier threshold). Taxi/ride-share drivers must register regardless of revenue. Businesses with gross revenues over $30,000 in any single quarter or over four consecutive quarters must register for, collect, and remit GST/HST. Small suppliers (under $30,000) may register voluntarily. Register FREE online through Business Registration Online (BRO) when your revenue exceeds $30,000 in any 4 consecutive quarters (small supplier threshold). Takes 15-30 minutes. You MUST register within 29 days of exceeding threshold and start charging GST/HST immediately on the sale that made you exceed it. Need your BN (or get one simultaneously). As of Nov 3, 2025, online registration is mandatory. Voluntary registration available anytime for input tax credits.
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Payroll Deductions Registration ConditionalRequired if you pay salaries, wages, or other remuneration to employees. Must register before first pay period. Required if you have employees. You must withhold Canada Pension Plan (CPP), Employment Insurance (EI), and income tax from employee wages and remit to CRA. Register FREE online through Business Registration Online (BRO) when you hire your first employee. Takes 15-20 minutes. You'll need your Business Number (BN) or can get one simultaneously. Payroll account (RP) added to your BN instantly. Register BEFORE your first pay date. Required to deduct CPP, EI, and income tax from employee wages. For 2025: CPP rate 5.95%, EI employee rate $1.66/$100 insurable earnings.
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WorkSafeBC Coverage and Registration ConditionalRequired if you have workers in BC. Workers compensation insurance coverage through WorkSafeBC for employers in British Columbia WorkSafeBC coverage required for most BC employers. Average base premium rate: 1.55% of assessable payroll ($1.55 per $100). Register online at worksafebc.com. Apply 30 days before starting business or hiring workers. Processing: ~10 business days. Premium rates vary by industry classification (514 classification units). COR certified employers eligible for 10% rebate. Contact: 604-276-3100 or 1-888-967-5377.
Funding & Grants
Available funding programs that may apply to your home health care services:
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The HIPP provided up to $200,000 over 9 months for Stage 1 proof-of-concept, with Stage 2 covering up to 75% of eligible expenses over up to 3 years (minimum 25% applicant cost-share). Eligible applicants included Alberta post-secondary institutions, government entities, health delivery agents, and for-profit or not-for-profit organizations. The program …
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The Invest Ontario Fund (IOF) is administered by Invest Ontario, a provincial Crown corporation, to attract and retain strategic business investments in Ontario. The fund provides financial support of up to $4 million through a combination of grants and loans to companies undertaking significant investments in advanced manufacturing, life sciences, …
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The IDCCF addresses the impact of climate change on human health by funding projects that increase surveillance, research, and public awareness of climate-sensitive infectious diseases. Maximum $150,000 per year for projects up to 3 years in duration. Eligible applicants include not-for-profits, universities, Indigenous organizations, provincial/territorial/municipal governments. Federal departments and for-profit …
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SUAP provides contribution funding for a wide range of projects including substance use prevention, harm reduction, treatment, and recovery. Individual project awards have ranged from approximately $1.6 million to $6.3 million in recent announcements. Eligible recipients include not-for-profit health organizations, universities, Indigenous organizations, and other levels of government. For-profit organizations …
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CIHR Catalyst Grants are short-term seed grants (up to 1 year) designed as a first step toward larger, longer-term research projects. The Digital Health stream specifically targets early and mid-career researchers and Indigenous Health researchers working on digital health technologies. Application deadline: March 17, 2026. Total pool: $1,000,000 (approximately 10 …
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