The following uninsured services are covered by paying the annual fee:
GENERAL UNINSURED SERVICES
Prescription Renewals by Phone/Fax ($20)
when appropriate and only at request of the patient or their pharmacy
prescription renewals generally require an office visit to re-assess the medical condition requiring a prescription; please anticipate your renewals at your office visits
Illness and Return to Work Notes ($20)
Massage Therapy and Orthotics Notes ($20)
when asked for without appointment
Day Care Notes ($20)
School/Camp Forms ($20)
Travel Cancellation Forms ($50)
Referral Note for Chiropractor, Physiotherapy, etc. ($20)
when asked for without appointment
Transfer of medical records
First 20 pages ($35) then $0.25 per page
Letter on behalf of patients ($25-200)
Depending on time and work involved
Medical supplies, dressings, etc. ($25)
Lost prescriptions, notes, referrals ($20)
Uninsured vaccine administration ($15)
TB Test & Reading ($30) - TB Form Only ($20)
Medical Examination for Return to Work requested by employer ($75)
Driver’s Medical Form (MOT) - $75 if annual fee paid [$150 if fee not paid]
Third Party Physical Exam ($125)
Photocopying ($1/page)
Travel info/vaccination ($40)
MEDICAL REPORT/FORMS
Citizenship and Immigration Report ($40)
Commercial weight loss program ($30)
Employment Insurance/Maternity Certificate ($30)
Fitness Club Forms ($40)
Private Insurance Forms ($30-200)
depending on time & work involved
Pre-employment Certificate of Fitness ($20.00)
Jury Duty Letter ($20)
Certificate of Medical Status ($20)
Revenue Canada Disability Form ($45)
Children’s Aid Society Form ($45)
charge is for PARENTS application form only
Replacement of Immunization Certificate ($15)
Forms required for volunteer work ($30)
The following uninsured services are not covered by the annual fee.
Missed appointment (without 24h notice) - $30
Missed annual physical examination (without 24h notice) - $50
Insurance/Disability Forms - Ontario Medical Association Rate
Legal Reports - Ontario Medical Association Rate