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    • Home
    • Planning Your Visit
    • Policies
    • Blood Lab
    • Uninsured Services
    • FR
    • Booking
  • Home
  • Planning Your Visit
  • Policies
  • Blood Lab
  • Uninsured Services
  • FR
  • Booking

Common Uninsured Services

The College of Physicians & Surgeons of Ontario requires physicians to complete and submit third-party reports within sixty (60) days. Ensure that you complete your portion of the form and sign the release beforehand; otherwise, your physician will not be able to complete it. Once the form is completed, we will contact you. If you have not heard from us after thirty (30) days, please call to check the status of your form.


Completion of Work & School Related Forms/Notes:

Back to work note, sick note, signature

$20.00

Child/Youth medical form, school, camp, daycare

$35.00

Adult medical form pre-employment, certificate of fitness

$100.00

License Medical - driver, firefighter - includes exam, form and urinalysis

$200.00

Insurance Forms/Certificates:

Attending physician statement, medical questionnaire or form

$100.00+

Insurance note for massage therapy/physiotherapy/orthotics/chiropractic/etc

$20.00

Travel cancellation insurance form

$50.00+

Procedures/Office Visit

Injection fee - if not covered by OHIP

$15.00

TB test - Step 1/Step 2

$45.00/65.00

Ear syringing

$20.00

Cryotherapy -non OHIP covered

$30.00

Government/Agency Forms:

Disability Tax Credit - Revenue Canada

$100.00

Service Canada Health Assessment - above portion covered

$85.00

Transfer of Records:

Electronic transfer of medical records

$45.00

Printing/copying of medical records (first 20 pages - $30.00, $0.25 each pa

$30.00+

Missed Appointments/Health Cards

Failure to attend appointment/no valid health card

$40.00+

Prescriptions:

Renewal requests outside of appointments

$20.00

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