Fee Guide
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Fees for Services Not Covered by OHIP
Services not listed to be agreed upon in advance.
General Services
| Service | Price | Checkout |
|---|---|---|
| Hourly Rate (in increments of 15 min) | $440.00 per hour ($110.00 per 15 mins) | |
| Travel Advice (includes injection fee) | $100.00 per individual | |
| Missed Appointment (appropriate visit fee applies) | $50.00 – $150.00 |
Forms & Reports
| Service | Price | Checkout |
|---|---|---|
| Insurance Notes (Chiropractor, Massage, Etc.) | $25.00 | |
| Faxed Prescriptions / Prescription Renewals | $25.00 | |
| Attending Physician Statement | $160.00 and up | |
| Sick Note | $25.00 | |
| Back to Work Note | $25.00 | |
| School/Daycare/Camp Physical Form | $35.00 and up | |
| Fitness Club Form | $45.00 and up | |
| Driver’s / Private Medical Examination | $200.00 | |
| Insurance Forms | $25.00 per page and up | |
| Work / School Immunization Forms | $50.00 and up | |
| EI (UIC) Disability Medical Report Form | $150.00 and up | |
| Insurance Medical Examination (incl. forms) | $280.00 and up | |
| Rev. Canada Federal Disability Tax Credit (T2205) | $80.00 and up | |
| Travel Cancellation Form | $50.00 | |
| CPP Disability Medical Report Form | $85.00 and up | |
| Transfer of Medical Records | $30.00 (first 20 pages) + $0.30 per page thereafter | |
| Faxing and Photocopying | $30.00 (first 20 pages) + $0.30 per page thereafter | |
| Other Forms not covered by OHIP | $25.00 per page and up | |
| TB Test | $50.00 | |
| Pension Buyback Forms | $200.00 and up |
Medical Procedures
| Service | Price | Checkout |
|---|---|---|
| Ear Flushing / Syringing | $35.00 | |
| Shave Excision e.g. Moles | $150.00 and up | |
| Excision & Suture e.g. Cyst | $200.00 and up | |
| Cryotherapy e.g. Warts, Skin Tags | $50.00 and up | |
| Non-Insured Immunizations | $25.00 per immunization |
Uninsured Visits
| Service | Price | Checkout |
|---|---|---|
| Uninsured Visit (Private Insurance) | $95.00 | |
| Uninsured Physical | $120.00 |
*These are the suggested fees only. More complex or time-consuming forms may incur additional charges, and not all physicians currently offer all of these services. These fees may be revised periodically.*
Fees derived from the OMA Physician’s Guide to Uninsured Services – January 2020
01.01.2020