Off work note – $20.00
Forms (extra charges may apply for examination):
- Trip cancellation insurance forms – $35.00
- E.I.C. disability/maternity certificate – $20.00
- Federal Disability Tax Credit form – $45.00
- Disability insurance forms (per page) – $28.00
Third party medical examinations:
- Includes completion of forms – $30.00
- Driver’s license physical – $125.00
- Insurance physical – $150.00
- Work / school medical – $60.00
- Fitness club physical – $60.00
- Camp physical – $60.00
- Day care physical – $60.00
- Fire department physical – $60.00
Travel medical advice/consult – $35.00
NSF cheque – $20.00
Mantoux TB skin test (except when medically necessary)
- 1 step – $24.00
- 2 step – $35.00
Missed appointment (without prior notice)
- 15 minute minor appointment – $25.00
- 30 minute major appointment – $50.00
Physician authorization for insurance coverage
- Massage, chiropractor, orthotics, etc – $20.00
- Medical devices not covered by OHIP, but physician prescribed – $20.00
Telephone medication
- Repeats when not seen by a physician – $20.00
Faxing prescriptions
- Per patient request – $5.00
Liquid nitrogen treatment (up to 5 lesions/treatment)
- Warts (except plantar/genital – OHIP covered – $20.00
- Seborrhelic keratoses – $20.00
- Other benign lesions – $20.00
Removal of benign lesions (oles, skin tags, etc. by excision and suture)
- Single lesion – $50.00
- Two lesions – $60.00
- Three lesions – $70.00
Medical records (per patient)
- Individual* – $30.00
- Family* – $60.00
- *Additional charges for lengthy records
Photocopies (per page) – $1.00 (+$10.00)
Insurance or Medico-Legal Report contracted beforehand – varies
Vaccination card replacement – $5.00
Immunization injection for travel – $11.00