Uninsured Medical Services
Did you know that some Medical Services , Forms and Administrative Services at a Family Doctor’s office are not covered by your
health card ?
such services include , but are not limited to :
– prescription renewals without a visit
– travel advice
– sick notes , patient requested letters written by doctor
– missed appointments without 24 hours notice
– copying of medical records , transfer of medical records , request of results from chart
We have created a list of our most commonly requested uninsured services and their fees for your convenience.
These fees are as per the Ontario Medical Association Uninsured Services Fees Guidelines for the most current year.
Medical Services
Forms , Letters, Paperwork
Administrative Services/ Other
Ear Wax removal $ 50
Driver’s Medical Exam & 1 Form $ 250
Extra Driver’s Medical forms (/form) $ 70
PAP test(beyond Ontario guidelines) $ 90
Fitness to Work Forms (private FAF) $ 100
Travel Advise / Consultation $ 75
Doctor’s note (simple) $ 26
Lost or damaged Vaccine card $ 30
Doctor’s note (complex) $ 45 +
Massage/Physio/Orthotics note $ 36
Daycare Note $ 36.25
Camp/school forms/ note $ 36.25
Fitness Club form $ 47.75
Weight loss program note $ 47.75
Volunteer form $ 47.25
EI Sickness Benefits Form $ 50
Compassionate Care Benefits form $ 72
Retirement/Nursing Home Forms $ 100+
CPP Disability Form $ 170 +
Disability Tax Credit Certificate $ 200
Travel Cancellation Form $ 160
Attending Physician Statement $ 170 +
Letter on Behalf of Patient $ 100 +
Extensive Long Term Disability hourly Rate
Legal Report hourly Rate
Results etc. from Chart $ 30/E-request
Lost or expired lab requision $ 25
Print Request of results/notes $ 1 / page
Results>20 pages (Elect. or print) $30 with additional 25 cents / page
Medical Records Transfer $ 30 for 1st 20 pg, then $ 0.25/page — if review requires
> 15 minutes time, then add $ 45 / 15 min
Missed Apt (Virtual/ In Person ) $ 50
Missed Physical, Mental Health $ 100
* The above prices are subjective to change and are subject to annual adjustments depending on inflation etc.
These fees are for average complexity paperwork. Forms that require more time, have more number of pages may have additional fees.
+ indicates the minimum fee, the final fee depends on the time, complexity and number of pages of the form, and the amount of review required.
For requests of expedition of the processing of forms with very short time window/ notice ( < 4-6 weeks), there is an added $ 50 surchargeas that would require the shifting of time and resources from usual office operations.
Family Practice
We offer both virtual (phone or video chat) and in person options for your consultation with the doctor.
A valid Ontario Health Card is required.
Comprehensive Care
We offer both virtual and in person options for your consultation with the doctor.
A valid Ontario Health Card is required.
Annual Physical
(now called:
Periodic Health Exam)
We offer checkups , which comprise of review of health history, measurement of height, weight and blood pressure measurements, calculation of body mass index etc. Blood work requisition for relevant screenings such as lipid panel, screening for diabetes etc.
We also offer cancer screening tests such as mammograms, PAP tests, referrals for colonoscopies or alternative such as the FOBT (fecal occult blood smear).
Well Baby &
Well Child Exams
We offer well baby and well child / adolescent examinations. These comprise of a review and history taking, height, weight and head circumference measurements, review of growth chart and development, vaccinations updates and medical advice.
Vaccinations
We offer both adult and child immunizations
Diabetic Checks
We offer periodic diabetic checks. These are recommended every 3 months. In these visits, a review of history is taken as well as vitals such as weight , blood pressure measurements are obtained. A diabetic foot check is also conducted as well. The doctor would also provide blood work and advice about diet, exercise and lifestyle modifications and any renewal of diabetic medications.
Non-Insured Services
We offer non-insured services. The fees for these services are per the Ontario Medical Association (OMA) Guidelines.
