Health Canada
Canada Health Act Services Policy
Insured services and the April 1, 2026 physician-equivalent services policy.
Primary guidance
Read the sources.
Understand the limits.
Official regulator, government and tax guidance used in this planning guide. Source review is not a legal certification, a complete billing audit or permission to practise.
Reviewed 2026-10-05
CPSO
Uninsured services: billing and block fees
Reasonable fees, advance disclosure, financial hardship and separation from insured care.
CPSO
Ontario: third-party medical reports
Ontario-specific consent, objective reports, physician scope and third-party decision-making. Other jurisdictions require their own report-standard review.
Ontario Ministry of Labour
ESA sick leave
Medical-note prohibition for ESA sick leave; separate accommodation and return-to-work needs.
Government of B.C.
Sick note not required: section 49.2
Restrictions on requesting practitioner notes for short health-related absences.
CPSA
Charging for uninsured professional services
Reasonable costs, ability to pay and disclosure before service.
CPSM
Virtual medicine standard
Virtual care and cross-border practice; local payer review still needed.
CPSM
Practice management: billing
Reasonable uninsured fees, individual advance notice and separation from insured care. Current payer schedules still require review.
CPSS
Approved uninsured-services policy, September 2023
Approved policy—not the consultation draft—requires reasonable fees, physician discussion/consent and hardship consideration. Published review date September 2026; confirm any replacement and current payer rules before opening.
Collège des médecins du Québec
Choosing a telemedicine physician
Physician identity, public-plan coverage and disclosure of consultation fees.
Government of Quebec
Reducing physician paperwork: short absences
Since January 1, 2025, no absence note for the first three periods of three consecutive days or fewer annually under the applicable rules.
Collège des médecins du Québec
Consultation fees and free medical-record access
Since July 1, 2024, physicians cannot charge for record access, transcription, reproduction or transmission, including preliminary sorting for an access request.
CPSNB
Virtual care professional standard
A physical clinic or formal in-person arrangement is required by the standard.
CPSNS
Professional standards regarding billing
No double billing; advance disclosure and reasonable administrative fees.
Nova Scotia Labour Standards
Medical certificates for employee absence
Five-day threshold and short-absence frequency rules over the preceding 12 months.
CPSPEI
Charging for uninsured services, October 2025
Reasonable fees, ability to pay, advance disclosure and recommended fee-guide considerations.
CPSPEI
Virtual care, October 2023
Appropriate virtual care, registration and access to in-person assessment.
CPSNL
Uninsured services guideline
Reasonable fees, compassionate reductions and explicit advance notice.
Government of Yukon
Yukon physician licensing pathways
Local licensing pathway; not evidence of a nationwide licence.
NWT Health and Social Services
Medical licence
Territorial registration; virtual-care exemptions and billing require case-specific confirmation.
Government of Nunavut
Health-care service delivery
Professional registration, credentialing and licensing administration.
Employment and Social Development Canada
Federally regulated workplace leave
Medical certificate provisions for medical leave of five days or longer.
Canada Revenue Agency
GST/HST on medical reports and certificates
Tax exemption depends on the purpose and qualifying health-care supply, not simply the provider being a doctor.
Canada Revenue Agency
Disability Tax Credit application
Authorized medical practitioners complete Part B; CRA decides eligibility.
Service Canada
CPP disability: information for health professionals
Report requirements and government payments. Service Canada currently pays up to C$175 for ISP-2519; review before any patient charge.
Service Canada
EI sickness: apply and medical certificate
The treating practitioner may charge for the certificate; EI does not reimburse the certificate fee. This does not authorize charges for insured clinical care.
Service Canada
EI caregiving: information for medical professionals
Medical doctor or nurse practitioner certification and patient consent for the relevant caregiving benefit.
Transport Canada
Applying for an aviation medical certificate
Designated Civil Aviation Medical Examiners perform the relevant examinations. Transport Canada does not set their exam fees.
Government of New Brunswick
Medical Services Payment Act: General Regulation 84-20
Sections 9–10 and Schedule 2 identify other statutory funding and non-entitled services, including specified third-party certificates. An exclusion is not approval of a patient price; the forensic psychiatric exception and other payer must be checked.
Government of Yukon
Health-care coverage
Coverage for medically required services; this page does not establish a general uninsured-document fee or authorize all private virtual visits.
NWT Health and Social Services
NWT Health Care Plan: physician services
Specified third-party examinations are outside the territorial plan. Services funded by Workers’ Compensation and other statutes follow other payer routes, not automatic patient charging.
Government of Nunavut
Nunavut Health Care Plan coverage
Medically required services and specified third-party examination exclusions; workers’ compensation, public health and other statutory funding must be distinguished from patient payment.