Uninsured services

Below is our price list for uninsured services

Medical consultation for non OHIP
$150
Complete Physical exam for non OHIP
$250
Drivers medical examination
If form is required +$80
$200
Insurance requested medical examination
$180
Pap test for non OHIP
$80
Missed appointment without 24h notice
Missed complete exam: $180
$40
Fax prescription refill without a visit
$25/medication
Attending Physician Statement
$180
Travel advice to outside Canada
$110/15 min
Vaccination forms (depending on complexity)
+$100
T.B testing and form completion for work
$60 (1 step) / $80(2 steps)
Vaccines for immunization (if not covered by OHIP)
$30 per vaccine
Travel vaccine administration
$20

Insurance Administrative Services

Insurance requested travel cancellation insurance form
$45
Insurance prescription requested for massage, physiotherapy etc
$25 each
Insurance disability certificate OCF-3, 18 or 23
$160
Full narrative report or any other letter/form
$110/15 min
Photocopying/Printing/faxing chart notes (at patient’s request)
after 20 pages +$0.50
$30
Insurance drug authorization form
$100
Replacement of Immunization Certificate
$50
Medical Records Transfer
less than $20 pages – $30
$100

Work, Educational and Government Administrative Services

Sick note from work or school or back to work note
$40
Retirement home entrance form
$180
CRA disability tax credit certificate
$150
Medical report for Canada pension plan disability benefit
$150
Form for admission to day-care, school, or university etc
if physical exam required +$200
$60
Jury duty letter of exemption
$100
Pre-employment certification of fitness/fitness clubs or hospital/nursing home employee
with physical exam + $200
$50
Form for Vaccine Verification – School/Work
$110
Medical Certification Form for employment
$80
FAF or other forms required by employer
Not requested by WSIB