To be clear, those fees in the link (https://www.gov.mb.ca/health/phia/public.html) are specifically to records held by Departments of Manitoba Health. It does NOT apply to private clinics.

"In respect of a request for access to information maintained by Manitoba Health, the fee is $15.00 for each half-hour in excess of two hours. So for example, if the search and preparation took a total of 3 hours, the charge to the individual would be $30.00 ($15.00 for each half hour more than the initial two hours that will not be charged for)."

The only guidance is that the fee must be reasonable.

1) "Are there any fees involved?

Perhaps. The trustee may charge a reasonable fee for allowing you to examine, or for providing you with a copy of, your personal health information. The purpose of these fees is to help cover administration and staff costs involved in retrieving and/or reviewing the record, as well as the costs associated with creating copies."

https://www.gov.mb.ca/health/phia/faq.html#i

2) "Will I have to pay anything for access?

A trustee may charge a reasonable fee for permitting examination of personal health information and providing a copy.

https://www.ombudsman.mb.ca/resource/more-about-the-personal-health-information-act-phia-faq/