What are uninsured services?
Uninsured medical services, are services that are not covered by the Ontario Health Insurance Plan, and may be charged directly to the patient (or third party). Examples include copies and/or transmission of medical records, completion of forms (physicals for school, camps, pre-school, daycare, university and other educational institutions), back to work notes, sick notes, insurance certificates, driver’s medicals, aviation medicals, etc.
Please make sure before any appointment, that staff are aware of any forms that you require to be completed. Staff will let you know the cost ahead of time. Payment is due at time of visit.
Uninsured Services (not covered by OHIP)
There are a number of exemptions when charging for the completion of a third party report form. The following list contains some of the common forms that a physician/nurse practitioner/physician assistant is not permitted to charge for its completion:
- Application for Accessible Parking Permit
- Transit forms for the Disabled
- Permanent Resident Card Forms
- Request for Birth Certificate Forms
- Children’s Aid Society Forms (on behalf of a child)
- Canadian Passport Application
- Ministry of Health and Long-Term Care Forms (e.g., Limited Use, Assistive Devices, etc.)
Excision of Lesions
Face or Neck………………………………………………………………………$50.00 (2 lesions $65.00, 3 or > $85.00)
Other Areas………………………………………………………………………..$45.00 (2 lesions $55, 3 or > $65)
Skin Tags…………………………………………………………………………..$35.00 (4 or > $45.00)
Cryotherapy Treatment………………………………………………………………$15.00 per visit
(Non-plantar warts, cosmetic)
Chart Summary………………………………………………………………………….$25.00 – $50.00
Drivers Medical Examination……………………………………………………..$100.00 **
Pilot Medicals……………………………………………………………………………$125.00 **
Mantoux/TB Skin Test (For employment/volunteer only)……………..$30.00/step
Immunization rendered solely for the purpose of
Travel outside of Canada……………………………………………………………$10.00/injection
Cortisone Injection…………………………………………………………………….$18.00
Ear Syringe (not medically necessary)………………………………………..$15.00
**Travel Advice…………………………………………………………………………..$75.00/30 minutes
Completion of forms associated with patient physicals;
Schools/Camps……………………………………………………………………$29.00
Admission for schools, camps, pre-school, daycare,
University or other educational institution………………………………..$29.00
Pre-employment certification
of fitness/fitness clubs or hospital/nursing
home employees………………………………………………………………….$38.00
Revenue Canada, Federal Disability Tax Credit………………………..$75.00
Children’s Aid Society Application for Foster
Parent………………………………………………………………………………….$59.00
Medical Certificate Employment Insurance
Sickness Benefits (INS5140)…………………………………………………..$40.00
Travel Cancellation Insurance Form…………………………………………$39.00
Life Insurance Death Certificate……………………………………………….$49.00
Medical Certificate – EI Compassionate Care Benefits………………..$56.00
Transfer of Patient Records…………………………………………………………..$30.00 for 1st 20 pages, $0.25/page
Transfer to CD……………………………………………………………………….$30.00
For a family of 3 or more………………………………………………………….$70.00
Missed Appointments……………………………………………………………………$25.00-$50.00
Notes
Back to work/school, sick note, daycare note……………………………..$20.00
Prescriptions for physiotherapy, orthotics, massage
(Without an appointment)………………………………………………………$20.00
Prescription Renewal (see below)…………………………………………………..$10.00
Please Note: Many of our physicians are charging for late, or last minute, requests for prescription renewals without an appointment.
This list is not all inclusive. If you have a form that is not listed above, please check with the receptionist when booking your appointment.