Uninsured Services 

FEES FOR PATIENT FORMS, LETTERS AND PROCEDURES AS MENTIONED BELOW, ARE NOT COVERED BY OHIP, AND ARE THE PAYMENT RESPONSIBILTY OF THE PATIENT.                                            

 
Notes
Absence/Return to School/Work/DayCare                              $ 20.00                                           
Missed Routine Appointment (1 per year)                               $ 60.00                                          
Missed Physical (1 per year)                                                    $118.92                              
TB Skin Test (Travel/Work- not covered by OHIP                   $ 44.48
 
Prescription/Note for Massage, Chiropractor, Ortho             $ 25.00 
                                                   
Transfer of Medical Records to CD (Disk)                               $ 35.00                      
                         
Forms
School/Camp Forms                                                                  $ 35.00
                         
Fitness Club Form/Note                                                             $ 25.00                                       
Pre-Employment Certification of Fitness                                 $ 35.00                                       
3rd Party Physical & Form (Driver’s Medical)                         $140.00
  • If second form required additional fee                            $  65.00
 
Employment Physical and Form                                              $140.00
 
OSAP Verification of Disability                                                 $ 45.00                              
Rev. Canada Federal Disability Tax Credit                               $ 50.00
                         
EI Disability/Maternity Certificate                                             $ 15.00
 
                                          
Travel Consultation Advice                                                       $ 50.00                         
                                          
                                 
Cosmetic Procedures
Cosmetic (Surgical) Skin Lesion (non-cancerous)                $ 50.00
 
Cryo Spot Clinic                                                                        $ 20.00
(i.e. removal skin tags, small growths) 


 
Military Forms
Application Canadian Armed Forces                                              $120.00    
 
        
Insurance Forms 
Life Insurance Death Certificate Form                                $ 45.00 
Attending Physician Statement Form                                 $ 65.00 
Travel Cancellation Insurance Form                                   $ 40.00
                
         
THERE ARE NO CHARGES FOR ANY OF THE FOLLOWING FORMS:
  • Application for Accessible Parking Permit
  • Transit form for the disabled
  • Permanent resident card forms
  • Request for birth certificate forms
  • Children’s Aid Society Forms (on behalf of child)
  • Ministry of Health and Long-Term Care Forms
    • (e.g. Limited Use, Assistive Devices)                                                                                                           


 Receipts for any services above can be issues for Income Tax Purposes.  


Weblink Canada Revenue Agency eligible medical expenses below:
 http://www.cra-arc.gc.ca/medical/#mdcl_xpns