General fee
The custodian is authorized to charge a general fee of up to $30, in addition to specific fees and direct costs. The custodian must provide a fee estimate to the individual requesting access.
The general fee of up to $30 includes:
- receiving and clarifying patient’s request
- locating and retrieving the record
- providing a fee estimate
- a 15-minute review of the record to determine if information should be severed
- severing the record, if necessary
- up to 30 minutes of preparing the record for copying or transmission
- preparing response letter
- supervising the patient’s examination of the record for no longer than 30 minutes
- the cost of mailing the record to a Canadian address
Direct costs
Direct costs are costs incurred by the custodian, including applicable taxes, for:
- charges to retrieve a record from and return the record to off-site storage, if an individual requests expedited access to a record for which additional retrieval costs are charged to the custodian
- courier costs, if courier delivery is requested by the individual
- the cost of mailing a record to an address outside Canada
- taxes payable on the services provided
Specific fees may include:
| Activity | Maximum fee |
|---|---|
| Making photocopies of a record | $.20 per page |
| Preparing a record for photocopying, printing or electronic transmission | $12 for every 30 minutes after the initial 30 minutes covered by the general fee |
| Faxing a record | $.20 per page |
| Making a compact disk containing a copy of a record stored in electronic format | $10 per request |
| Making a microfiche copy of a record stored on microfiche | $.50 per page |
| Making a paper copy of a record from microfilm or microfiche | $.50 per page |
| Making a copy of an audio cassette recording | $5.00 per cassette |
| Making and providing a copy of a quarter-inch or half-inch or 8 mm video cassette recording that is 1 hour long or less | $20 |
| Making and providing a copy of a quarter-inch or half-inch or 8 mm video cassette recording that is more than 1 hour long | $25 |
| Making and providing a copy of a three-quarter inch video cassette recording that is 1 hour long or less | $18 |
| Making and providing a copy of a three-quarter inch video cassette recording that is more than 1 hour long | $23 |
| Producing a record stored on medical film, including X-ray, CT and MRI films | $5 per film |
| Printing a photograph from a negative or from a photograph stored in electronic form - per 4" x 6” print - per 5” x 7” print - per 8” x 10” print - per 11” x 14” print - per 18” x 20” print |
$10 $13 $19 $26 $32 |
| Review of the record by a custodian or an agent of the custodian to determine whether the record contains personal health information to which access may be refused under subsection 72(1) of the act | $25 for every 15 minutes after the first 15 minutes covered by the general fee |
| Supervising an individual’s (patient’s) examination of original records | $6 for every 30 minutes after the first 30 minutes covered by the general fee |