Missed Appointments – Billing Patients

Manitoba Health does not cover the cost of missed appointments for office visits, diagnostic services, NFA surgery, or other treatment services.

Physicians may charge patients directly for missed appointments in accordance with the requirements of the College of Physicians & Surgeons of Manitoba BY-LAW #11 STANDARDS OF PRACTICE which can be found on the College’s website.

According to the College’s By-Law:
1. A member who charges a patient for a missed appointment must adhere to the following requirements:

  1. the patient must be informed in advance:
    1. that a charge will be made for a missed appointment and the amount of the charge; and
    2. as to how much notice must be given to the member in order to avoid the charge for a missed appointment;
  2. the member must have been available to the patient for the period of time for which the fee is charged and must not have been engaged in other billable health care at that time;
  3. the fee charged for a missed appointment must reasonably reflect the actual costs of the missed appointment;
  4. the member must take into account the circumstances of the missed appointment and the ability of the patient to pay and must be prepared to discuss the fee with the patient.

Billing Notes:

  • Some physicians, particularly psychiatrists, who will be seeing a patient for ongoing appointments/treatment, ask their patient to sign a written agreement regarding fees for missed appointments.
  • Some physicians who perform NFA surgery and are concerned with missed appointments take the following steps:
    1. they advise their patient in writing of their policy with respect to charges for missed appointments;
    2. they ask their patient to acknowledge in writing that they have received this advice and are agreeable to paying the charge if they miss their appointment, and
    3. they advise their patient that their surgery will be scheduled after they have provided this written acknowledgement.


Allison Crolly
(204) 985-5856


Updated: December 2016