Guide to Uninsured Services

General

  • Missed Appointment – $50.00
  • Chart Transfers/Copies – $65.00 & up
  • Expired OHIP (Deposit) – $40.00 CASH
  • Out of Province Patients (Quebec) – Cost Varies

Letters/Notes

  • Third Party Sick Note (Work/School/Daycare) – $40.00
  • Massage/Orthotics/Physio/Compression Stockings/etc. – $20.00
  • Fitness to Work – $25.00
  • Certificate of Freedom of Communicable Diseases – $25.00

Procedures

  • Ear Syringing (non-insured) – $30.00
  • Liquid Nitrogen Treatment – Cost Varies
  • Skin Lesions/Skin Tags – Cost Varies
  • Third Party TB Testing (one step) – $45.00
  • Third Party TB Testing (two step) – $75.00

Forms

  • School Forms (physical) – $35.00
  • Pre-Employment Physical – $45.00
  • Revenue Canada Form – $80.00
  • CRA Disability Tax Credit – $80.00
  • Children’s Aid Society (CAS) Application for Prospective Foster Parent – $230.00
  • Medical Certificate Employment Insurance Sickness Benefits – $45.00
  • Travel Cancellation Insurance Form – $150.00
  • Life Insurance Death Certificate – $100.00
  • Employment Insurance (EI) Form – Cost Varies
  • Medical Certificate for Employment Insurance Compassionate Care Benefits – $67.00
  • Ministry of Transportation Forms/Third Party Physical – $150.00
  • Canada Pension Plan Forms – $85.00
  • Insurance Forms (medication coverage) – $80.00

Payment is due at the time of the service

This is not a complete list, but contains the most commonly requested services charged to patients.