Make a Payment

Requests are processed in order following receipt of payment and can take up to 30 days. Standard Processing fee ($30 plus HST) is non-refundable.

ROI Request #

Please note this is a unique number that will be provided to you by Access & Disclosure staff.

Payor Contact Information

Please include the contact information for the person or organization paying the Access to Personal Health Information fees. This information will be used for issuing your receipt and contacting you in the event of any problem.

Payor or Organization Name

Email Address

NOTE: After processing your payment, your receipt will be emailed to this email address.

Phone

Payment Information

The following payment methods are accepted by Nova Scotia Health for paying fees online:

Credit and debit card payments are made securely based on our Terms of Use and Privacy Policy. Submitting a payment using our online payment portal constitutes your acceptance of both.

All transactions are processed in Canadian Dollars.

Nova Scotia Health does not charge any fees for making credit or debit card payments online. Check with your credit or debit card provider for any fees which may apply.

Payment Amount

NOTE: Enter the exact value of the payment you would like to submit. This is the amount, in Canadian dollars, that will be deducted from your credit card balance. Note that unless stated, you invoice is in Canadian dollars.

Card Holder Name

Billing Address

City

Province/State

Postal Code/Zip Code

Country

The billing address as entered above must match the billing information associated with this credit or debit card or your payment may be declined.

Credit Card Number

Month

Year

CVV2