FEES & NON-INSURED SERVICES
Administrative fees
Special authorization for drug coverage = $100 + HST
Guarantor documents = $100 + HST
Travel cancellation insurance form = $175 + HST
Letter for exclusion from jury duty =$125 + HST
Retirement home admission forms = $225 + HST
Medical/legal reports = $550/$300 + HST
Physician records review = $550/$300 + HST
Re booking of missed specialist or test appointment = $60 + HST
Replacement of immunization certificate = $75 + HST
Replacement of lost/misplaced prescription = $50 + HST
Replacement of lost/misplaced/expired test requisition = $50 + HST
Administrative fee for reminders for overdue invoices = $20 + HST per item per month
Medical Records
Photocopying/printing/faxing of medical records = $100 flat rate + HST
Transfer of medical records (PDF, electronic) = $100 flat rate + HST
Emailing/printing of individual medical records = $20 per item
School & Work
Sick note return to work = $40 + HST
Sick note return to school = $40 + HST
Accommodations note school = $75 + HST
Accommodations note work = $75 + HST
TB Mantoux testing = $90 + HST
Certificate of freedom from communicable disease = $40 + HST
Forms to verify immunization status = $85 + HST
Attending physician statement = $550/$300 + HST
Functional ability forms fitness to work= $550/$300 + HST
School form Administration of prescribed Rx = $95 + HST
Missed appointment fees
Medical follow up = $60 + HST
Medical follow up = $75 + HST
Consultation = $125 + HST
Consultation = $150 + HST
Licensing & Certificates
CRA disability tax credit certificate = $550/$300 + HST
Life insurance death certificate = $550/$300 + HST
EI disability or maternity certificate = $80 + HST
Medical certificate for EI for sickness benefits = $75 + HST
CHECK US OUT ON INSTAGRAM
THE BOROUGH HEALTH & WELLNESS
A premier state-of-the-art facility, delivering the highest standard of clinically effective, medically directed care.
REACH US
© 2026 The Borough Health & Wellness. All rights reserved. | Privacy Policy