FEES & NON-INSURED SERVICES
Administrative fees
Special authorization for drug coverage = $90 + HST
Guarantor documents = $80 + HST
Travel cancellation insurance form = $100 + HST
Letter for exclusion from jury duty = $100 + HST
Retirement home admission forms = $200 + HST
Medical/legal reports = $525/$300 + HST
Physician records review = $525/$300 + HST
Re booking of missed specialist or test appointment = $50 + HST
Replacement of immunization certificate = $50 + HST
Replacement of lost/misplaced prescription = $35 + HST
Replacement of lost/misplaced/expired test requisition = $35 + HST
Administrative fee for reminders for overdue invoices
= $15 + HST per item per month
Medical Records
Photocopying/printing/faxing of medical records
= $90 flat rate + HST
Transfer of medical records (PDF, electronic)
= $90 flat rate + HST
Emailing/printing of individual medical records = $15 per item
School & Work
Sick note return to work = $35 + HST
Sick note return to school = $35 + HST
Accommodations note school = $50 + HST
Accommodations note work = $50 + HST
TB Mantoux testing = $80 + HST
Certificate of freedom from communicable disease = $35 + HST
Forms to verify immunization status = $85 + HST
Attending physician statement = $525/$300 + HST
Functional ability forms fitness to work
= $525/$300 + HST
School form Administration of prescribed Rx = $85 + HST
Missed appointment fees
Medical follow up = $50 + HST
Medical follow up = $65 + HST
Consultation = $100 + HST
Consultation = $130 + HST
Licensing & Certificates
CRA disability tax credit certificate
= $525/$300 + HST
Life insurance death certificate
= $525/$300 + HST
EI disability or maternity certificate = $80 + HST
Medical certificate for EI for sickness benefits = $75
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