Fees for Uninsured Services 

• Sick Note/ Return to Work note $30

• Attending Physician’s Form $153

• Disability Tax Credit Form for Canada Revenue $150

• Massage Therapy/ Chiropractic/ Physiotherapy/ Orthotics 1 x $30

• Liquid Nitrogen Treatment of Cosmetic Lesion (e.g. Skin Tag) $30/ 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 $160

• Driver’s Physical Exam and Form (MOT) $180

• 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