Uninsured Services

As you are aware, essential medical services in Ontario are insured through the Ontario Health Insurance Plan (OHIP). There are many services however that are not covered by OHIP, which nevertheless consume a considerable amount of time for your physician and the office staff. It is our office policy to charge patients for these services in accordance with the 2009 Ontario Medical Association guidelines.

Some examples of Uninsured Services:

Description of Service

Fee-Per-Service

Pharmacy Requests

 

Prescription Repeats by Phone/Fax*

$35

Printouts/Copies

 

Printouts of Tests or Reports

$1/page

Photocopies of Records or Forms

$1/page

Transfer of Medical Records

$30+

Cosmetic and Other Non-insured Surgical Procedures

 

Wart/Skin Tag Removal (minor)

$30-$75

Wart/Skin Tag Removal (major)

$75-$150

Uninsured Injections and Tests

 

Travel Consult

$50

Injections for Travel Outside of Canada

$20/injection

Injections not covered by OHIP

$20/injection

TB Test

$20

TB Read

$20

Work &School Related Forms/Notes

 

Back to Work Notes/Sick Notes

$20

Daycare Note (Free of Communicable Disease)

$20

Referral Note for Chiropractor/Physiotherapy/Massage/Orthotics/Etc.

$20

TB Test Result Form

$30

Forms Requiring Physical Exam

 

Drivers Medical Exam + Form

$150

Pre-Adoption Medical Exam + Form

$200

Third Party Medical Exam + Form

$150

Pre-operative Exam for Cosmetic Surgery + Form

$150

Any Other Form Requiring a Physical Examination

$150

Insurance Certificates and Forms

 

Revenue Canada, Federal Disability Tax Credit

$45

Children’s Aid Society Application Form for Prospective Foster Parent

$60

Treatment Plan (form OCF-18)

$150

Disability Certificate (form #OCF-3)

$150

Determination of Catastrophic Impairment (Form # OCF-19)

$120

UIC Disability / Maternity Certificate

$30

Attending Physician Statement

$50-$150

Pre-employment Certificate of Fitness

$40

Citizenship and Immigration Report

$150

Miscellaneous Insurance/Disability or Sickness Forms

$30-$150