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Disability Alliance BC - Sample Letter for Your Doctor

Dear Doctor, I am writing to ask you to complete a Medical Report for my application for Canada Pension Plan disability benefits.


[Name of doctor]

[Doctor’s address]

Dear Doctor,

I am writing to ask you to complete a medical report for my application for Canada Pension Plan disability benefits. I am enclosing the medical report form.

To qualify for CPP disability benefits, I must provide medical evidence to show the following:

  • Ever since I last worked [give date you last worked], my disabilities have prevented me from regularly having “substantially gainful” employment in any job (not just my previous job).
  • My condition is not likely to improve enough for me to return to substantially gainful employment.

If you can complete the medical report for me, please include the following:

  • The date you began treating me. If this is after the date I last worked, please mention any medical documents you have from my previous doctors (Section 3).
  • A Section 5 sheet for each of my medical conditions. The form only comes with three sheets, but you can photocopy a sheet and add pages if you need to describe more conditions that I have.
  • A list of my impairments and functional limitations that prevent me from working.

Giving my prognosis (health outlook) for the purposes of this application

My prognosis does not have to be written in stone. In deciding whether I will get CPP- Disability, Service Canada is looking at whether my condition is going to improve, deteriorate, stay the same, or whether this is unknown. The strongest application will be one where my condition meets the definition of ‘severe’ and will likely get worse or stay the same.

Many doctors like to say “unknown,” but that results in a weaker application. It does not mean an automatic denial, but it is something the medical adjudicators do reference in some of their denials. They see it as evidence that a person’s condition may improve with treatment, and that they will probably be able to go back to some type of work.

If you can focus on “likely” instead of “absolutely,” hopefully we can create a stronger application that will show if I am expected to see dramatic improvements or not.

Expected duration: This should be more than 1 year for Service Canada to consider the condition ‘prolonged’.

Frequency of symptoms if recurrent/episodic: If my symptoms are unpredictable, please make a note of that.

List of the medications I am taking and have taken: There is not a great deal of space. You can include attachments such as Pharmacare records.

Types of treatments we have tried: If we have attempted more than 3 treatments, you can include an attachment that lists them all.

My employment situation (Section 6)

  • Question 1: If you did not recommend that I stop working but you agree with me that I could not work when I did stop, please include a note giving that context.
  • Question 2: I believe it is unlikely that I will be able to return to work in the future. If you agree it is unlikely, please say so.

Supporting documentation (Section 8)

When you submit documents to support my application, please keep in mind that Service Canada is assessing my employability. Please attach all reports or notes that you think would be relevant to my application.

Thank you for your help with my application. If possible, please show me the form when you have completed it, so that we can go over it together before it is submitted.


[Your signature]

[Print your name]

Adapted from: Disability Alliance British Columbia CPP-D Self Help Guide-Application Guide


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Knowing your province helps us make this tool the best experience for you.

Important information about benefits for Indigenous Peoples

If you are Indigenous there are many things that affect the benefits you can get and the dollar amounts you can get from them. These include the agreements your band or governing body has with provincial, territorial, and federal governments. Before applying to any benefits, you should speak with your governing body, if applicable.

AFOA Canada and Prosper Canada are currently seeking funding to develop an online tool that serves the needs of Indigenous people living in Canada.