Forms, Notes & Letters
Uninsured services.
Some services — sick notes, insurance forms, transfer of records, missed appointments — fall outside what OHIP insures. For those, we keep a single transparent fee schedule, in Canadian dollars.
Your medical care is covered by OHIP. The fees below apply only to specific uninsured services and programs that OHIP does not cover.
Pay for a form or service
One secure payment page for all uninsured services — payment link pending.
| Service | Fee (CAD) |
|---|---|
| Sick Note | $26 |
| Prescription Renewal (no visit) | $25.80 |
| Prior Authorization — renewal | $35 |
| Copy / Transfer of Medical Records | $30 |
| Camp / School / Daycare Medical Form | $37.25 |
| Prior Authorization — initial (incl. GLP-1 coverage) | $45 |
| EI Sickness Benefits Certificate | $52 |
| Back-to-Work / Fitness-for-Work Letter | $60 |
| EI Compassionate Care Certificate | $74 |
| Workplace Accommodation Letter | $80 |
| Missed / Late Cancellation — Follow-up | $50 – $100 |
| Short-Term Disability / Functional Abilities Form | $80 |
| Disability Tax Credit Certificate (T2201) | $150 |
| Travel Insurance Cancellation | $150 |
| Attending Physician Statement | $175 |
| Missed / Late Cancellation — 1st Consult | $193 |
| Chart Summary / Medical Report | $200 |
| CPP Disability Medical Report | $200 |
Fees are payable when the service is requested. Most fees are subject to HST, added at payment. All prices in Canadian dollars.
Not sure whether your form is insured? Call us before you pay.
226-270-8618