Patient information
Uninsured Services
Services Not Covered Under MSP
All prices include GST
Forms
-
Workplace Fitness Assessment Form $25.00 – $200.00
*Examination Extra
-
Completion of Simple Form $26.25
*Per page
-
Insurance Company Form – Including Review of Records (Short) $181.65
-
Insurance Company Form – Including Review of Records (Extensive) $238.35
-
Sick Time Form $10.50
*If not part of office visit
-
Disability Tax Credit Certificate $78.75
-
Income Tax Disability – Long Form $131.25
*For patients with Disability Designation
-
Private Insurance Drug Coverage Form $21.00
-
Fitness Form for School, Summer Camp, etc. – Without Examination $26.25
-
Fitness Form for School, Summer Camp, etc. – With Examination $52.50
Examinations & Visits
-
General Insurance Examinations $257.26
Industrial, MOT, CPP, Pilots, Air Traffic Controllers, Marine Personnel
-
Medical Exam and Driver’s Exam Form (Class 1-7 Yellow) $105.00
-
Office Visit – No MSP Coverage $40.00 – $50.00
*Price based on age
-
Complete Physical – No MSP Coverage $150.00
Letters and Notes
-
Medical Advice by Letter *N/A
* Rate Based on Preparation Time
-
Sick Time Note $10.50
*If not part of office visit
-
Medical Notes for Chiropractor/Massage/Orthotics $10.50
Procedures
-
Liquid Nitrogen – Warts, Skin Tags – Adults over 15 years old $52.50
*Plantar wards excluded
-
Actinic Keratosis – For Cosmetic Purposes *N/A
*Rate depends on complexity and practitioner’s discretion
Other Services
-
Prescription Refills via Phone or Fax – Deregistered/Active patients $15.75
-
Excision and Tray Fee – Cosmetic Procedures $181.75
-
Wound Care Supplies Fee $10.00 – $50.00
Based on wound care complexity
-
Courier or MediTran Fee $21.00
-
Chart Transfer Requests – Base Fee – Photocopy or Disc $41.60
Plus $2.31 per page for first 10 pages, and $0.32 thereafter
-
Access to Medical Records – Base Fee – Patient Request (Photocopy) $30.00
Plus $2.20 per page for first 10 pages, and $0.32 thereafter
-
Access to Medical Records – Base Fee – Patient Request (Copied to Disc) $50.00
*Additional fees commensurate with administrative time
Forms
-
Workplace Fitness Assessment Form $25.00 – $200.00
*Examination Extra
-
Completion of Simple Form $26.25
*Per page
-
Insurance Company Form – Including Review of Records (Short) $181.65
-
Insurance Company Form – Including Review of Records (Extensive) $238.35
-
Sick Time Form $10.50
*If not part of office visit
-
Disability Tax Credit Certificate $78.75
-
Income Tax Disability – Long Form $131.25
*For patients with Disability Designation
-
Private Insurance Drug Coverage Form $21.00
-
Fitness Form for School, Summer Camp, etc. – Without Examination $26.25
-
Fitness Form for School, Summer Camp, etc. – With Examination $52.50
Examinations & Visits
-
General Insurance Examinations $257.26
Industrial, MOT, CPP, Pilots, Air Traffic Controllers, Marine Personnel
-
Medical Exam and Driver’s Exam Form (Class 1-7 Yellow) $105.00
-
Office Visit – No MSP Coverage $40.00 – $50.00
*Price based on age
-
Complete Physical – No MSP Coverage $150.00
Letters and Notes
-
Medical Advice by Letter *N/A
* Rate Based on Preparation Time
-
Sick Time Note $10.50
*If not part of office visit
-
Medical Notes for Chiropractor/Massage/Orthotics $10.50
Procedures
-
Liquid Nitrogen – Warts, Skin Tags – Adults over 15 years old $52.50
*Plantar wards excluded
-
Actinic Keratosis – For Cosmetic Purposes *N/A
*Rate depends on complexity and practitioner’s discretion
Other Services
-
Prescription Refills via Phone or Fax – Deregistered/Active patients $15.75
-
Excision and Tray Fee – Cosmetic Procedures $181.75
-
Wound Care Supplies Fee $10.00 – $50.00
Based on wound care complexity
-
Courier or MediTran Fee $21.00
-
Chart Transfer Requests – Base Fee – Photocopy or Disc $41.60
Plus $2.31 per page for first 10 pages, and $0.32 thereafter
-
Access to Medical Records – Base Fee – Patient Request (Photocopy) $30.00
Plus $2.20 per page for first 10 pages, and $0.32 thereafter
-
Access to Medical Records – Base Fee – Patient Request (Copied to Disc) $50.00
*Additional fees commensurate with administrative time