Private Pay Services

$25

$25

$25

Sick note
Return to work note
Insurance note, including notes for physiotherapy, massages, and chiropractors
Functional Abilities Form (unless WSIB)
Modified work form (unless WSIB)

$25

$25

$ 35

Form physical for work or school

$45

Disability Tax Credit Form

$25

$60

Chart Copy

$30 for first 20 pages (0.25 cents each page after)
confidential shipping with tracking of records $15.00
$20 for digital conversion

$60

$135

$60

Travel medicine consult*

*includes vaccine administration, not vaccine prescription

$85

$135

$135

Canadian Pension Plan Form

$135

$135

$135

Ministry of Transportation physical
Attending Physician's Statement (up to 3 pages)