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Income Security Advocacy Centre

Income Security Advocacy Centre

ISAC works to address issues of income security and poverty in Ontario

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New Resource for Community Legal Clinics: Guidance on Fees for Medical Reports

November 18, 2025

Accessing appropriate and timely medical care can be challenging enough when living with a disability. For those applying for disability-related income support programs, their ability to receive income support becomes inextricably tied to their ability to obtain timely and thorough medical documentation.

We know that doctors want to support their patients, and at the same time, often do not have access to adequate public billing options for the time they spend filling out crucial medical documentation. Unfortunately, the high fees some doctors charge for medical documentation can be a significant barrier to successful ODSP applications and appeals, and access to other legal entitlements.

As part of ISAC’s multi-pronged approach to the problem of high fees for medical documentation, we have prepared a two-page fact sheet designed specifically for community legal clinic caseworkers to send to doctors along with the clinic’s initial requests for medical records or reports. This brief document sets out doctors’ professional obligations and guidance on what to do and what not to do when charging fees for providing patient records and reports. We also hope this can be a helpful resource for caseworkers when trying to negotiate lower fees. Click here to access the PDF version of this resource, which is also posted in the Publications section of our website.

Note: Community legal clinics who use this document should remove ISAC’s name from the last page and replace it with their clinic name. A modifiable Word version of this document is available for community legal clinic staff on the CRO’s internal resource website.

Disability Justice, Ontario Disability Support Program (ODSP), Public Education, Social Assistance

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Income Security Advocacy Centre

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1500 – 55 University Avenue, Toronto, ON M5J 2H7
Tel: (416) 597-5820 • Toll Free: 1-866-245-4072 • Fax: (416) 597-5821

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This site contains general legal information for people in Ontario, Canada. It is not intended to be used as legal advice for a specific legal problem. ISAC is a not-for-profit, non-partisan organization. ISAC is funded by Legal Aid Ontario (LAO). The funding for this website is also provided by LAO. The views expressed in any of ISAC’s publications (including written, oral, or visual) are the views of the clinic and do not necessarily reflect those of LAO.