Serving Atlantic Canada

Need a medical
form completed?

Start online. Get clear next steps from a licensed physician.

  • No unnecessary driving
  • No unnecessary waiting rooms
  • Transparent pricing
  • Easy
  • Convenient
  • Secure

For eligible uninsured medical forms. Further assessment may be needed.

Serving Atlantic Canada

Medical forms.
Without the runaround.

Start online from New Brunswick, Nova Scotia, Cape Breton or Prince Edward Island. Speak directly with a physician about your eligible uninsured form requirements first, or securely submit your documents for Standard or Priority Review.

Form5 is a medical-documentation coordination service operated by EndWell Management Inc. from Prince Edward Island. We coordinate secure intake and administrative support; participating licensed physicians independently assess each request and decide whether documentation can be completed.

New BrunswickNova ScotiaCape BretonPEI

Not sure where to begin? Call 902-316-1550 and we’ll help you choose.

Start here

How would you like to start?

Choose and book one option. We’ll then send your Medical Form Intake so you can complete it and upload your form and supporting documents securely.

Option A · Talk to the doctor first

Not sure where to start?

Book a Medical Forms Guidance Consultation with Dr. Janine Karpakis to discuss your form requirements, what information may be needed and your next steps.

Monday–Thursday · 4:30–8:30 p.m. Atlantic Time
Subject to appointment availability.

Book a guidance appointment

Paid guidance for eligible uninsured form requirements. No insured medical assessment, diagnosis, treatment, prescription or referral is included. Form completion and detailed records review are separate unless expressly included in your booking.

Already have your form? Start with a review instead.

Fastest review
Option C

Priority Review

When time matters

review startCA$80.50Tax included
  • Most complete requests reviewed within 5 business hours*
  • Priority physician queue
  • Eligible forms often returned within 24 business hours*
Book Priority Review See form-specific fees

*Review-pathway timing begins after we receive your payment, completed intake and required documents. Timing is an estimate, not a completion guarantee. Further records or a separate assessment may be required. Eligibility and applicable funding must be checked before privately paid work proceeds.

One booking. One secure intake. All three options open Jane in a new tab. Book your preferred option, then receive and complete your Medical Form Intake. Upload your form and any supporting documents through your secure portal.

Your selected review fee starts the review process. Any additional work and fees are explained before proceeding.

Physician reviewedCanadian-licensed doctors

Secure intakeUpload from home

Fees explainedBefore added services

Digital returnDownload your documents

A clear path from request to review

See how Form5 works.

Pick one of three starting options, book it through Jane, then complete your Medical Form Intake and upload your form and supporting documents. Choose only the option you need.

  1. 1
    Choose & book

    Talk to the doctor first, Standard Review or Priority Review.

  2. 2
    Complete your intake

    Receive your Medical Form Intake and complete it securely online.

  3. 3
    Upload your documents

    Add your form and supporting records through your secure portal.

Need a medical form?
01Need a medical form?Have a form or questions about one? Choose the starting option that suits you.
Illustrative photograph of online medical support
02Start at Form5Start online with a guidance appointment or a document review.
Illustrative physician photograph for the talk-to-the-doctor option
03 · Option ATalk to the doctor firstBook a Medical Forms Guidance Consultation to discuss your form requirements and next steps.Book a guidance appointment →Illustrative physician photograph
Choose your review option
03 · Options B & COr choose a document reviewBook Standard or Priority Review directly through Jane. We’ll then send your Medical Form Intake and secure upload instructions.
Complete secure intake
04Complete secure intakeReceive and complete your Medical Form Intake, then upload your form and supporting documents securely. For a guidance appointment, include what you have so far.
Illustrative close-up of a physician reviewing documentation
05Independent physician reviewA participating physician evaluates the clinical information.
Appointment only if needed
06 · If neededFurther assessment if neededA separate virtual or in-person assessment may be recommended if required to complete your form. Scope and fees are agreed before proceeding.
Clinical judgment comes first
07Clinical judgment comes firstA physician signs only documentation that can be medically supported.
Receive the outcome securely
08Receive the outcome securelyAny additional fees are explained before proceeding; completed documentation is returned securely when appropriate.
Clinical decisions come first.Payment covers the selected guidance or review service, not a guaranteed signature or application approval. Any additional work, fees and expected timing are explained and agreed before proceeding.
Forms we commonly review

Start with the form you already have.

Many requests can begin online. The physician determines whether your documents are sufficient or whether further assessment is needed.

Work & return-to-workInsuranceDisability documentationDriver medicalsPhysician lettersSchool & campTravel documentationGovernment forms
Straightforward pricing

See the fee before you begin.

Standard Review starts at CA$44.85 and Priority Review at CA$80.50, tax included. The total depends on your form and any further work needed. Additional fees are explained before proceeding.

Level 1

Simple documentation

Sick notes, simple letters and basic verification. Standard Review starts at CA$44.85, tax included.

Level 2

Standard documentation

Forms needing more chart review and medical reasoning. See the guide for form-specific fee estimates.

Level 3

Complex documentation

Disability, legal and detailed reports are individually quoted. Call before proceeding.

View all forms and feesSearchable · Easy to compare · Mobile friendly

One important promise: no false promises.

Submitting and paying for review does not guarantee that a physician can complete or sign a form. Physicians act independently and may only sign documentation they can support medically. Review fees are non-refundable once professional review has begun simply because a form cannot be completed. Guidance fees cover the consultation provided. Refund and cancellation terms are disclosed before payment; applicable legal rights are unaffected.

Built for Atlantic Canada

Local understanding.
Online convenience.

Form5 helps residents begin eligible medical-form requests online across New Brunswick, Nova Scotia, Cape Breton and Prince Edward Island—including rural communities where getting to a clinic can mean hours of travel.

Halifax · Dartmouth · Sydney · Truro · Moncton · Fredericton · Saint John · Miramichi · Charlottetown · Summerside—and communities throughout the region.

Common questions

Clear answers before you begin.

Still unsure? Call us and a real person will help you understand the process.

902-316-1550
Can I speak with the doctor before submitting a form?

Yes. Book a Medical Forms Guidance Consultation with Dr. Janine Karpakis to discuss your eligible uninsured form requirements and next steps. Appointments are available Monday–Thursday, 4:30–8:30 p.m. Atlantic Time, subject to availability. This paid guidance appointment does not include an insured medical assessment or form completion. View the fee and book through JaneApp.

Which starting option should I choose?

Choose a guidance appointment if you would like to discuss your form requirements first. Choose Standard or Priority Review if you are ready to submit your form and supporting information. All three options book directly through Jane. After booking, receive and complete your Medical Form Intake and securely upload your documents. You only need to choose one starting option.

Is every medical form privately billable?

No. This service is for eligible uninsured work. Some forms or related services are covered by a public plan or another funding program. Eligibility, applicable funding and the physician’s professional requirements must be checked before privately paid work proceeds. For appointments, eligibility also depends on your physical location.

Do I need to have seen this physician before?

No. However, complete medical records and supporting documentation make it easier for the physician to determine whether the form can be completed without another appointment.

Will I need an appointment?

Not always. Some forms can be completed from sufficient existing information. You may choose a guidance appointment first, or a separate assessment may be required after document review. Any additional work and fees are explained before you agree to proceed.

What if the physician cannot sign my form?

The physician will explain the reason or identify what additional evidence or assessment is required. Payment purchases professional review; it does not purchase a guaranteed signature or outcome.

Is Priority review the same as guaranteed completion in five hours?

No. Most complete Priority requests received on business days are reviewed within five business hours. If the form is eligible and sufficiently supported, it is usually returned within 24 business hours. Complex forms can take longer.

How are my documents returned?

Completed documents are returned through the secure process associated with your intake. You can then download and forward them to the organization that requested them.

Can an employer or law firm submit a request?

Yes. We provide separate organizational pathways for eligible documentation, with appropriate consent and physician independence.

Can I request a medical form online from New Brunswick or Nova Scotia?

Eligible clients in New Brunswick and Nova Scotia can begin a request through our secure online process. A physician determines whether the form can be assessed using available records or whether a virtual or in-person consultation is needed. Availability depends on the type of form and applicable professional requirements.

Can a physician review a Disability Tax Credit (T2201) form?

A physician may review the medical information relevant to a T2201 request and determine whether they can certify the applicable sections. The Canada Revenue Agency, not Form5 or the physician, determines tax-credit eligibility.

Who makes the clinical decision?

Participating licensed physicians make all clinical decisions independently. Form5 coordinates intake, scheduling and administration; submitting a request or paying a review fee does not guarantee a completed or signed form.

How is my personal health information handled?

After booking, receive and complete your Medical Form Intake through the secure patient portal. Upload your medical form and supporting documents there rather than by public messages or ordinary email. Review the privacy and consent information provided during intake.

Ready when you are

Start your medical-form request today.

Choose one starting option. Review prices include tax; any additional fees are explained before proceeding.

Standard Review startCA$44.85 · tax includedChoose an option