Sick note/Back to work note

$25

Massage/Physio/Orthotics Note

$20

Missed appointment

$50

MTO Drivers Medical (exam and form)

$200

MTO Supplemental forms (diabetes, cardiovascular, etc).

$50

Medical certificate for EI benefits

$60

CAS Application for prospective foster parent

$65

Revenue Canada Disability Tax

$100

Insurance forms, life/travel (based on complexity)

$60-100

Based on complexity

Notes/Forms for schools/camps (basic form)

$30

Exam (non-OHIP; if required for forms)

$200

Short Term Disability Form

$50-80

Based on complexity

Long Term Disability Form

$80-120

Based on complexity

Travel/Trip Cancellation Form

$60

Travel Consultation

$75

TB test – Work/Volunteer

$45

Treatment of uninsured warts/skin tags/benign lesions with cryotherapy

1 or 2 lesions

$25

3-4 lesions

$40

5-9 lesions

$60

10+ Lesions

$80

Or as determined by provider

Ear syringing uninsured

$40

Chart/Record Transfer

$40

Send/Print Copies of Results

$20

up to 20 pages