Caregiver & compassionate leave forms

Assessment pathway

Program-specific clinician review

Suitability is determined by the physician. A virtual encounter is not a substitute for a needed examination, access to relevant records or a designated practitioner.

What the physician may need

• Exact statutory or benefit form
• Authority and consent of the person described
• Treating evidence and qualifying criteria

Do not send records or health information through the public partnership form.

Important limits

• Not an ordinary sick note.
• Eligibility, approved author and coverage vary by program.

Coverage and fees

An individual physician-approved quote, only after coverage and payer review.

Check the provincial plan, any employer or insurer payment, program-specific rules and tax treatment. Assessment and documentation must not be double-billed or bundled to conceal insured care.