Fees - $230.00 for all aviation medical categories (in-person or telemedicine).
This fee includes the clinical assessment and completion and submission of the
initial 4-page Medical Examination Report (MER) to Transport Canada, as well as the receipt and processing of required in-office investigations (urinalysis, ECG when required, and audiogram results).
Costs incurred for lab work, ECGs, or audiograms performed
outside the clinic are the client’s responsibility.
Additional documentation after the exam (effective January 1, 2026)While less common, Transport Canada may request additional medical documentation after an appointment. Requests to copy or forward additional medical documents
after the exam are considered uninsured administrative services and are billed separately.
Reference fees:· Up to 20 pages:
$30· 21–50 pages:
$55· 51–100 pages:
$90· Larger submissions are billed based on total volume, with an estimate provided in advance.
Most aviation medicals do not require additional submissions beyond the initial MER.