The Following Un-Insured Services ARE COVERED by paying the Annual Fee General Un-Insured Services
Prescription Renewals by phone/fax (when appropriate and only at the request of the patient) – $30.00
Transfer of Medical Records – First 1-5 pages – $35.00 – Each page after 5 – $0.35
Letters on behalf of patients – $25 – 200 – Depending on time and work involved
Travel Advice in the office – For 1 person – $40.00 – 2 persons or more $60.00
Lost Prescriptions, Notes – $20.00
Uninsured Vaccine Administration – $20.00
TB Test – $40.00 – and Reading $15.00
Medical Examination for Return to Work requested by Employer – $75.00
Driver’s Medical Form only (MOT) – Annual Fee paid $40.00
Photocopying – $2.00 per page
Medical Supplies, Dressings, etc. – $25.00
Medical Report / Forms
Citizenship and Immigration Report – $40.00
Commercial weight loss program – $25.00
Illness and Return to Work Notes – $20.00
Employment Insurance / Maternity Certificate – $40.00
Fitness Club Forms – $40.00
Private Insurance Forms – $30 – $200 – Depending on time and work involved
Pre-employment Certificate of Fitness – $40.00
Jury Duty Letter – $40.00
Certificate of Medical Status – $40.00
Massage Therapy and Orthotics, Compression stockings – $20.00
Revenue Canada Disability Form – $40.00
Day Care Notes – $20.00
School / Camp Forms – $40.00
Travel Cancellation Forms – $40.00
Auto Accident Insurance Forms – $108.00 – When not covered by Insurance Company
Disability Tax Credit Certificate – $50.00
Referral Note for Chiropractor, Naturopath, etc. – $20.00
Replacement of Immunization Certificate – $20.00
Forms required for Volunteer Work – $30.00
*Prescription renewals require an office visit to re-assess the medical condition requiring the prescription. Please anticipate your renewals at your office visit.
The Following Uninsured Services ARE NOT COVERED by the Annual Fee
Available as per the standard guidelines set by the Ontario Medical Association-OMA.
Missed Appointment – $60.00 – Without 24 hours notice
Missed Annual Physical Examination – $100.00 – Without 24 hours notice
Insurance/Disability Forms – OMA Rate
Legal Reports – OMA Rate
3rd Party Physical Exam (eg: MOT) – $100.00