Screening Officer Form

$
40
and up
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AISH Forms

$
150
and up

CPP Disability

$
100
and up
if any extra pages are needed $20 per page

CPP Pension Plan

$
100
and up
Featured

CRA Disability Credit Form

$
60
for the first page
and $20 per page thereafter

Pregnancy Test

$
5

Modified Duties Work Form

$
60
for the first page
and $20 per page thereafter
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Letter for CRA for
Child Health Benefits

$
60
for the first page
and $20 per page thereafter

Print-out of Reports

¢
50
per page

APS Form

$
175
to $ 300
Featured

Pregnancy Leave and
EI Forms

$
60
for the first page
and $20 per page thereafter

Disabled Parking Authorization Form

$
50

Driver's Medical

$
70
Featured

Alberta Motor Vehicle Insurance

AB-1a Claim for Disability Benefits

$
75

AB-2 treatment Plan

$
125
Featured

AB-3 Progress Report (only to be completed on request of insurer)

$
100

AB-4 Concluding Report

$
100
Featured

Certified Examiner Opinion

$
275

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Satisfied Patients

315 +

Health Sections

180 +

Kinds of Research

250 +

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UNINSURED SERVICES PRICE LIST EFFECTIVE JANUARY 01/2022
Out of Province Visit (Quebec Patients/ No PHN) $60.00
CPX $160.00
PAP Only $90.00
CPX + Pap $190.00
Out of Country $160.00
CPX $250.00
PAP Only $120.00
CPX+Pap $290.00
Completion of Forms $40 for 1st page and $20 for each subsequent page
Forms and Exams
Sick Note $20.00
Disability Parking Form $40.00
Drivers Medical 75 and Under $150.00
75 and Over $100.00
No Show Fee $50.00
Chart Transfer $60.00 +
Nitrogen Treatments One time fee per wart $20.00

Fee Schedule