WORK & SCHOOL
School forms or medical certificate
No Examination (Report Only) $ 50
With Examination $ 90—135
Fitness certificate for summer camp, daycare, travel etc /form only $ 55
With examination $145
Pre-employment medical and report $160—350
Sick note by Doctor $ 25
Insurance
APS Form $185-$375
Insurance physical/ Form $275-$480
General insurance form $275-$480
Disability
Disability form without exam – form only $95-$155
Disability parking placard form $60—$105
Disability benefit report with exam $145-$230
Driver’s Medical
Drivers medical examination and form $160-$295
Leave of Absence/ Maternity Leave
Form for temporary leave UIC, Pregnancy Leave, etc without exam $60—$100
Blue Cross special authorization $55
SENIOR >74.5years/ans
Applications and other forms seniors’ residence medical report
Form only $55-105
Exam and Form $150-275
VETERAN’S AFFAIRS
Exam and or form completion $65-135
Applications and other forms
Capacity assessment and report $133.05
Co-deciding guardianship both guardianship and trusteeship Max. $500
Medical Reference form on perspective adoptive/foster parents/guardians
with examination $213.05
Without examination $80.00
Handicapped Children services (letter) $55-80
Report
Report or letter/per 15 min.
Without examination $45 per 15 min
Administrative services
Medical record transfer Minimum $75
Paper version $ 30.00 includes 25 pages then add 0.25 per additional copy
CD version $35.00
Preparation time (per 15 min) $45.00
Posting fee $15
Photocopy – page $0.25