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

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

$ 120

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

Certified Examiner Opinion

$ 275