Fees & coverage
There is no single legally approved doctors-note price for all of Canada. The service, provincial plan, other payer, physician’s obligations and purpose of the document determine the fee decision.
Documentation fee
Only genuinely uninsured work can enter the individual patient-quote pathway.
Do not charge privately for an insured visit or require a document fee to access insured care. Virtual delivery alone does not make a service uninsured.
A government program, employer or insurer may already pay for a form or report. Verify the payer before charging the patient.
Medical association guides can inform a physician’s decision. They do not create one nationwide legal price or establish a document’s clinical appropriateness.
Some reports or certificates may be taxable. The fact that a physician writes a document does not automatically make it GST/HST-exempt.
Before a service opens, the provider must explain any assessment fee, document fee, cancellation terms and what happens if no document can be issued.
A transparent decision
Separate clinical assessment from the requested third-party document.
Check insurance, the provincial schedule and program funding.
The responsible physician approves a reasonable, disclosed charge.
Explain scope, timing, applicable tax and terms before proceeding.