1

Patient Intake & Eligibility

Required

2

Service Details & Add-ons

Charged to your card today clinic.ca

Weight Loss Insurance Authorization

MD review · insurance form completion · PDF to portal

$89

📄 No additional costs. This is a document-only service — your completed weight loss insurance authorization will be delivered to your clinic.ca portal as a PDF. There are no lab fees, pharmacy costs, or follow-up charges.

Total charged today

$89

to your card — nothing else to pay

$89 total — no additional charges.

3

Your Information

For your certificate

First Name *

Last Name *

Date of Birth *

Phone *

Email Address *

Your insurance authorization form and portal login will be sent here

Street Address *

City *

Postal Code *

4

Payment

🔒 Secure

Card Details

VISA

MC

AMEX

Name on Card *

Card Number *

VISA

Expiry *

CVC *

🔒 Secure · PHIPA-compliant · Powered by Stripe

Full refund if req can’t be issued · MD reviews within 24–48 hrs

✅

You're Booked!

Your intake is with a clinic.ca MD now. Your insurance authorization form certificate will arrive by email within ~2 hours during business hours.

Order —

🔐 Your Private Patient Portal

You'll receive a separate email from TELUS Health Patient Portal with your documents (lab req, prescription, or letter). First-time patients: click the link to create a free TELUS Health account (takes ~2 minutes). This is normal — not phishing.

🔗 Access Your Portal →

Two emails: 1) clinic.ca confirmation · 2) TELUS Health portal link · PHIPA-compliant

📋

Booking Confirmation

⚡

What Happens Next

1

Check your email — certificate in ~2 hours

Your signed PDF insurance authorization form will be emailed. Check spam if you don't see it within 2 hours during business hours.

2

Forward to your employer or school

Download the PDF from your portal or email and forward directly to HR, your manager, or your school's registrar.

3

Certificate includes MD name & CPSO number

The note is on clinic.ca letterhead with the MD's full name, CPSO registration number, and clinical details.

4

Free re-issue if rejected

If your employer or institution requests changes, contact us via your portal — first amendment is free.

📄

Patient Record

Download your complete intake record for your files or to import into Telus CHR.

Contains intake answers · OHIP status · test ordered

📋

Certificate Information

What's included & FAQ

▾

What's Included

MD Review & Assessment

Licensed Ontario MD reviews your symptoms and confirms medical appropriateness

Signed PDF Certificate

On clinic.ca letterhead with MD name, CPSO number, and date of issue

Addressed Letter

Addressed to your employer, school, or specific recipient as specified

Free Re-issue

If rejected or amendment needed, first re-issue is at no charge

FAQ

Will my employer accept this?

Most Canadian employers accept MD-signed certificates. The note is on clinic.ca letterhead with the MD's full name and CPSO registration number — the standard format employers and HR departments recognise.

How long does it take?

Usually within 2 hours during business hours (Mon–Fri, 8am–8pm). Often faster. Certificates are not processed overnight or on weekends unless specified.

Can you backdate the certificate?

The certificate reflects the dates you report during intake. MDs cannot certify clinical incapacity on dates they did not assess — however you can report that your illness began on a specific date and the MD will document this accurately.

Is this OHIP-covered?

No — insurance authorization forms are an administrative service and are not covered by OHIP. The $89 fee is private-pay.

What if my employer requests more detail?

Contact us via your portal. Your MD can amend the certificate with additional clinical detail or provide a supplementary letter — at no extra charge for the first amendment.

Can I get a note for a family member?

The intake must be completed by the patient — each certificate covers one individual. Complete a separate intake for a family member if needed.