How to Claim Orton-Gillingham Tutoring on Your Personal Income Tax Return (Updated for the 2022 Tax Year

A few years ago, I posted a blog with some ideas and advice on how parents can claim our tutoring as an expense on their taxes. Most of the blog was written by Mike Campagne, who is a local expert on tax relief for those with disabilities, including the parents of kids with learning disabilities. I asked Mike if he would be kind enough to update the article for the 2022 tax year for our Symbols families.

Below is what Mike sent back to me, beginning with the forward that was written by me for the original blog….

It’s late-February.  Employers are issuing T4s, banks are reminding customers about the RRSP deadline, and personal income tax returns are due in a couple of months.  Every year at about this time we start getting questions from parents about if and how our Orton-Gillingham tutoring can be claimed on income tax returns.  In the past, we’ve hosted free seminars for parents, with presenter Mike Campagne, an expert on tax relief for those with disabilities, including children with learning disabilities.

Below, you’ll find the article that Mike wrote for you, our Symbols families. Be sure to scroll to the bottom of the post, as he provides his personal email address and mentions a free consultation.  But first, I want to provide my own very high-level overview of the 2 most common ways that our tutoring can potentially be claimed on taxes, to help give Mike’s article a little bit of context.

1. Medical Expense

The eligibility for this option is a bit complex, but the simpler of the two.  This is the option that Mike primarily focuses on in his article below. Medical expenses are explained on the CRA’s website here, but Mike’s article covers the ins and outs of this option in great detail.

2. Disability Tax Credit

This option is the most complex and difficult to claim, but when successful, it is also – by far – the most financially rewarding.  In fact, when a child is found eligible, retroactive benefits to families will often be enough to pay for multiple years of tutoring or other relevant supports to a child with a learning disability. For children with learning disabilities, being approved for the Disability Tax Credit can be very difficult and tricky.   For Symbols families, I always recommend only attempting this with the help of an expert like Mike, who has successfully helped some of our clients gain approval in the past.  Mike offers a free/no obligation review of potential eligibility.  Mike tells me that since 2006 subsequent to his free reviews of children with learning disabilities, his company DTS has been able to move forward on applications for approximately 75% – and of those over 90%+ secured eligibility.   For those who do decide to get assistance from DTS, no fees are charged unless eligibility is secured.

More about Mike

Mike Campagne

Mike Campagne is the founder and President of DTS Disability Tax Services, a company focused on serving families with a child with a non-visible (cognitive) disability since 2006. Mike is a CFP with over a decade of dedicated expertise in disability related tax rules and regulations. The Globe and Mail interviewed him in 2014 as the leading Canadian expert in the field within their extensive landmark report on the growth of private schools serving students with learning disabilities.  He has been an invited speaker at numerous financial conferences as well as the Our Kids Media Private School Expos.

Mike’s Article

From this point onwards on this blog post, all content was written and provided to us by Mike Campagne.  Thank you, Mike, for doing this for our students’ families!

This article is not to be construed as financial advice, but rather as general information.  Always consult a tax professional in determining the optimal way for you to file your medical expenses or any other relevant tax credits and deductions.

Rob asked me to comment on the claiming of tutoring expenses as a medical expense.  I’m starting with the specific rules, and then bolding key areas in which opportunities exist to maximize this tax saving opportunity.   

As a general comment, if you have a child with a cognitive challenge requiring tutoring, it would be prudent to get advice from a tax professional with specific and in-depth expertise in the disability area, as it is administered differently than other areas of personal taxation. In recent years numerous tax based credit and benefit programs have been introduced to assist families, and many of these are misunderstood or overlooked by tax preparers with only a more general competency. 

I last provided this information before the 2020 Covid-19 lockdowns, and feel here in February 2023 an update has value.  However – as the basic tax principles on medical expense have not changed, I am leaving the 2018 tax year examples in place, as the only real changes there are to the basic thresholds which have just changed by the rate of inflation.  The principles on medical expense claims remain the same, though on the forms line numbers have had adjustments as the CRA changed some forms (line 330 from 2018 is now line 33099, line 5868 is now line 58689).  Any such line number changes are easy to see on the T1 and BC428 tax forms by you or your tax preparer.

There have been a few very important changes since early 2020. These are:

  1. The eligibility criteria for the extremely valuable disability tax credit related to mental functions have been expanded in 2022 retroactive to January 2021.  

I welcome this development and was actually involved in committees that convinced the federal government to grant these new expanded categories.   This means that some children who in prior years did not qualify for the disability tax credit might qualify now.  

While this is clearly a positive development, this silver lining includes a cloud…. CRA has expanded the T2201 application form from 6 to 16 pages.  Mental functions specific questions have increased to 3 pages, with roughly 3 dozen questions.  This has regrettably led to the reluctance of many doctors and psychiatrists to fill out the form, and increased the costs charged around its completion as well.  Given the resources related to approval can range up to $30,000 or more in some circumstances, please contact me directly by phone or email if you need information on how to overcome these hurdles and ascertain if your child would qualify.

Specific Rules on Medical Expenses

Line 330 – Medical expenses for self, spouse or common-law partner, and your dependent children born in 2001 or later: (now in 2023 this is dependent children born in 2005 or later – ie children under age 18 at start 2022):

2018 tax year examples from prior article:

You can claim on line 330 the total eligible medical expenses you or your spouse or common-law partner paid for:

■ yourself;

■ your spouse or common-law partner; and

■ your or your spouse’s or common-law partner’s children born in 2001 or later.

You can claim eligible medical expenses paid in any 12-month period ending in 2018 and not claimed for 2017. Generally, you can claim all amounts paid, even if they were not paid in Canada.

Your total expenses have to be more than 3% of your net income (line 236) or $2,302, whichever is less, to yield tax savings.

Reimbursement of an eligible expense – You can claim only the part of an expense for which you have not been or will not be reimbursed.

The medical expense is claimable by the date paid, rather than the date invoiced.

Tutoring services that are supplementary to the primary education of a person with a learning disability or an impairment in mental functions, and paid to a person in the business of providing these services to individuals who are not related to the person are eligible medical expenses, so long as a medical practitioner has certified in writing that these services are necessary.

Commentary and FAQs 

Why do I need this certified by a medical practitioner?

The simplest way to explain this is to think of it as if your child has been prescribed tutoring due to a learning disability or impairment in mental functions.

Tutoring for a child without an impairment, is usually not claimable.  However, I would note that in my experience the description of what qualifies as an impairment of mental functions can be relatively broad.

Which parent should make the claim?

Normally it is most advantageous for one parent to claim the entirety of the family’s medical expenses.  (There are very rare exceptions when it is advantageous to split medical expenses between parents).

As only the combined medical expenses over $2,302 or 3% of net income (whichever is less) result in a federal tax reduction, in a two parent family often the lower income earner will have the greatest tax reduction. 

The corresponding provincial lines for the medical expense claims are for self, spouse and a child under 18 line 5868; for a child over 18 it’s line 5872. The threshold for useable medical expenses differs slightly by province. For BC residents, the threshold is $2,165 or 3% of net income, whichever is less.

For example, with tutoring expenses of $6,000 and spouses with net incomes of $100,000 and $30,000, and no other claimable medical expenses:

The higher income spouse would see useable federal medical expenses of $3,698 ($6,000-$2,302) versus useable medical expenses of $5,100 ($6,000-$900) for the lower income spouse.  By useable medical expenses I am referring to that portion which leads to a tax reduction.  For a BC resident, the provincial useable medical expenses would be $3,835 ($6,000-$2,165) for the higher income spouse and the same $5,100 for the lower income spouse.

If you already have medical expenses over $2,302 or 3% of net income, whichever is less, the entire tutoring expense yields claimable tax savings.

Ensure to compare the amount you can claim with the amount your spouse or common-law partner would be allowed to claim. Either parent can make the claim, just choose that claim which leads to the largest tax reduction – simply run the numbers for both scenarios before filing.  Most tax programs will ask you, when you enter medical expenses, whether they are to be “optimized”. Selecting yes normally leads to the tax software working out which spouse should claim the medical expenses, but I recommend do the calculations for each parent to be sure.

In the rare case where neither spouse does pay tax (such as a quite low family income or a high level of deductions), there are no tax savings as the credits are non-refundable. In cases where a family is extremely low income, there may be a medical expense refund claimed, but in my experience families with such low incomes can rarely afford tutoring, so I will not address that issue here. 

Are there tax planning opportunities centered around timing of claims in light of overall medical expenses?


Example: Sue is a single Mom who makes $100,000 net income.  She plans on having her son Joe, who has a learning disability, have intense tutoring from September to March, cost $3,000 in 2017, $3,000 2018.  Sue has no other medical expenses.  If she claims the expenses by calendar year, she has a useable medical expense amount of only $698 in each of 2017 and 2018, for a total of useable federal medical expense above the threshold of just under $1,400.  But if she chooses to claim the period of September 2017 to August 2018 on her 2018 tax filing, her useable medical expense amount more than doubles to $3,698.  As well, if she paid the entire tutoring amount in 2017 (a prepayment of the January to March tutoring), Sue would have the $3,698 useable amount for her 2017 filing. 

How to meet the CRA requirement of “certified by a medical practitioner”?

Here is a typical letter (optimally on stationary identifying the doctor or registered psychologist) certifying the tutoring is required due to a learning disability or impairment in mental functions:

Joe Sample, date of birth January 1, 2010, is my patient and diagnosed with a learning disability.  Due to his learning disability, Joe requires tutoring supplementary to that provided by his primary schooling program.

(Signed Dr.) W. Smith

While a doctor or registered psychologist is the best choice, I have seen CRA accept medical practitioners with less qualifications as long their field is relevant to learning issues.  As well, recently CRA is currently trying to streamline processing. I have mentioned to Rob that a receipt that notes Symbols provides Orton Gillingham Tutoring which is specific to addressing learning disabilities, and that the student has a confirmed cognitive disorder such as a learning disability, may be accepted in lieu of a doctor or psychologist letter.  Many doctors, psychologists, and other medical practitioners are retiring or already have.  CRA recognizes this can make getting a “doctor letter” difficult.

Will I be audited?

CRA has in some past years set a threshold on total medical expense claims for automatic computer generated review (audit is way too strong a term here).  Based on filings for clients my best guess is that the threshold for review is $10,000 and above.  These “audits” are usually easily addressed by mailing CRA your receipt(s) and a basic letter like the example above.  Most regular Canadians can handle this on their own, but if you run into any issues with CRA here, give me a call.   Always end your reply to CRA with “I trust these documents confirm that our claim for medical expenses is valid, verified and proper – please contact me if there is any additional information required to validate the claim.”

How much tax savings does the claim yield?

This depends on your overall tax situation and other medical expenses. For BC residents this normally works out to 20.06% of the useable medical expense for middle or high income earners (there are exceptions). The maximum tax relief, for a person with substantial other medical expenses above the 3% of net income or $2,302 thresh hold, on $6,000 of qualifying tuition expenses, works out to $1,203.60 for BC residents.

For business owners with a Health and Welfare Trust or Private Health Services Plan, this tax savings can double, but such plans have expenses and requirements, and I know of only a few clients over the years utilizing such a plan – they’re complicated.  As a discussion of this component is rarely applicable, I won’t bother to cover the details here.  If you are a person owning their own business you may want to review these options with a reputable plan provider. 

Other Options Beyond Medical Expenses

While claiming eligible tutoring expenses for a child with a learning disability or mental impairment yields valuable tax savings, they are barely the tip of the iceberg of what may be available.  There are a range of potentially applicable programs that include: the disability tax credit, child disability benefit supplements to the child tax benefit, family caregiver amount credits, and tuition medical expense credits for a limited list of approved private schools. 

Not every child with a learning disability or impairment will qualify for such programs – but many do. These programs are complex and pre-assessed with a rigorous CRA testing system that often leads to erroneous denial of tax credits and benefits to Canadian families.  As noted above there are new expanded eligibility rules. These new rules are poorly understood by medical practitioners; many mistakenly think the eligibility requirements have increased due to all the questions and won’t complete the form.  However, once I explain the tax law, specific to a patient, many change their minds and do complete the application form.  CRA’s assessment system is extremely flawed and often leads to improper denials to eligibility. So if you were told “no” by CRA (or your child’s doctor or psychologist won’t complete the form) you may have missed out on eligible supports for you child – call me for a free consultation!

Wishing you and your clients all the best of luck with your 2022 tax filing Rob!

Symbols’ clients are welcome to email me directly at  or call my office 604-415-5311 if they would like a free initial consultation in regard to tax saving opportunities specific to their family’s unique circumstances.

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Rob Wahl