Updated June 20/22: Due to COVID-19, only one adult support person may attend with you, children not allowed into clinic at this time.

Admin Fee Policy

Administrative Fees for Non-clinical Services

Requests for administrative forms are to be made through the administrative staff and can take up to 2 weeks to complete. We require receipt of payment by e-transfer in advance for all non-clinical services. Chart documents will be printed and must be picked up in person once notified.

Insurance, Maternity/Sick Leave Forms $50
Revision of completed forms $15
Affidavits for custody/legal proceedings $50
Medical records (client requests) $50
Legal requests for medical records $120

Payments to: cmoh.payments@gmail.com, in advance.
Thank you.