Uninsured Services
Services Free Of Cost
1
Notes For Massage
2
Back To Work Note
Following Services Are Charged
1
Screening Officer Form
$100 and up
2
AISH Forms
$ 150 and up
3
CPP Disability
if any extra pages are needed $20 per page
$ 100 and up
4
CPP Pension Plan
$ 100 and up
5
CRA Disability Credit Form
$60 for the first page and $20 per page thereafter
6
Pregnancy Test
$ 5
7
Modified Duties Work Form
$20 per page
8
Letter for CRA for Child Health Benefits
$20
9
Print-out of Reports
50 Cents per page
10
APS Form
$ 175 to $ 300
11
Pregnancy Leave and EI Forms
$80
12
Disabled Parking Authorization Form
$ 50
12
Disability Tax Credit Form
$ 420
13
Driver's Medical
$ 50
14
Blue Cross Authorization
$ 50
15
Sick Note
$ 15
16
Private Pay Patient
$ 100
Alberta Motor Vehicle Insurance
1
AB-1a Claim for Disability Benefits
$ 75
2
AB-2 treatment Plan
$ 125
3
AB-3 Progress Report(only to be completed on request of insurer)
$ 100
4
AB-4 Concluding Report
$ 100
5