Uninsured Service Fees

Please Note: We only accept Cash or Cheque. Payments must be made before the work will be completed or sent off. Thank you.

Sick Notes -- $100.00

Short-Term Disability Attending Physician Statement -- $100/page

Homewood - City of Calgary Short-Term Disability Physician Statement (one page) -- $100.00

Homewood Monthly Update Note -- $40.00

Canada Life Long-Term Disability Attending Physician Statement -- $300.00 and up

Long-Term Disability Insurance - Attending Physician Statement -- $300.00 and up

Return to Work City of Calgary forms (2-3 pages) -- $200.00

Follow-up City of Calgary Return to Work or Restrictions Forms -- $200.00

RCMP Attending Physician's Statement (Sickness and Accident/Disability Forms) -- $200.00

RCMP PARE Medical Clearance Forms -- $200.00

Driver's Medical Form -- $120.00

PARmed-X Forms/Physical Fitness School Forms/Occupational Forms -- $120.00

School/College/University Forms eg. Physical Fitness/Special Considerations, etc. -- $120.00

Immunizations ie: Twinrix, Hep A/B shot -- free of charge

Travel Consent Form from Homewood Insurance -- $40.00

Blue Cross Special Authorization Form -- $40.00

Other/Miscellaneous Forms -- $100/pg and up

Request for records to be transferred to another doctor's office between $40.00-$100.00 and up depending on size of file

Reprinting of prescriptions lost or misplaced -- $40.00

Missed appointment for General Appointment -- $60.00

Missed appointment for Annual Health Exam (Physical) -- $100.00

Not all uninsured services are listed here. Please inquire with Dr. Pawaroo if you are unsure.

We only accept Cash or Cheque. Payments must be made before the work will be completed and/or sent off. Thank you.