Fees for Uninsured Services
Sick Note/ Return to Work note $20
Attending Physician’s Form $153
Disability Tax Credit Form for Canada Revenue $79
Massage Therapy/ Chiropractic/ Physiotherapy/ Orthotics 1 x $20
Liquid Nitrogen Treatment of Cosmetic Lesion (e.g. Skin Tag) $25/ Unit
TB Test and Reading (if required for employment) 1 step $35, 2 step $45
Immunization Forms (for employment or volunteer work) $40
Certification of Fitness (e.g. for employment, fitness club, weight loss program) $40
School or Camp Forms $30
Travel Cancellation Forms $40
OCF-3 Disability Certificate $153
Driver’s Physical Exam and Form (MOT) $150
Children’s Aid Application Form for Prospective Parents $60
Transfer of Medical Records to Another Physician $30 (patient pick up), $50 (courier)
Copies of Medical Records (e.g. insurance companies/ legal requests) $50- 300 (or higher depending on physician time required for review of records)
Insurance Medical Forms/ Including Assessment $249