UNINSURED SERVICES
These are suggested rates by Ontario Medical Association.
Most common
-
Sick or back to work notes $20
-
Missed regular appointment (with less than 24 hour notice) $60
-
Missed periodic health exam/physical (with less than 24 hour notice) $100
-
Disability tax credit form $45
-
Certificate of freedom from communicable disease $20
-
Allied Health Professional notes (ie physiotherapy, massage therapy, orthotics) at patient request $20
-
Prescription renewals (without appointment) $20
-
Replacement of lost requisition $15
-
Replacement of lost immunization records or amalgamation of immunization records $20
-
TB skin test (for employment purposes, includes 2 visits for injection and reading) $40
-
Privately paid injection or immunization (ie: travel vaccines) $20/vaccine
-
Third party physical (including form) $175
-
Uninsured visit (includes non presentation of health card or invalid health card) $75
-
Uninsured periodic health exam $110
-
Transfer of medical records (paper) $30 - first 30 pages, $0.25/page thereafter + disbursements
-
Transfer of medical records (CD) - physician hourly rate + disbursements
-
Copy of chart content for patient $2 (first 2 pages), then $0.25 (each additional page)
-
Cosmetic procedures are variable, please inquire for details
-
Cryotherapy (ie: warts or other skin lesions) $20 first lesion and $10 each additional lesion
-
Travel cancellation certificate $40
-
School physical form (includes physical and form completion) Variable
-
Patient interview for practice admission (Note: patient interview refers to a 15 minute patient conducted interview of a physician) $100
-
Pre-adoption examination and evaluation for Children's Aid Society $210
-
Children's Aid Society (CAS) Application for Prospective Foster Parent $60
-
Letter to excuse from jury duty or physical fitness program/facility $30
-
Medical Certificate Employment Insurance Sickness Benefits INS5140 $30
Quebec Patients
-
Patient from Quebec with a valid RAMQ card are expected to pay their fees in full at their appointments and submit claim form to the government for reimbursement.
-
The fees stated below are based on recommendations for uninsured services by the OMA
-
Any regular visit is $70
-
A physical exam is $110
-
Add-on fee for a pap test is $20
-
The visit might be subject to additional fees for certain procedures, such as (but not limited to) immunizations, biopsies, cryotherapy, ear syringing.
Employment and Educational-related Forms
-
Schools/Camps $25
-
Admission to daycare, preschool, university (including out of province and international universities) or any other educational institution $25
-
Pre-employment certification of fitness/fitness clubs (no examination) $40
Insurance Forms
-
Attending Physician's Statement $150
-
Short-term/Long-term disability forms are billed at the physician's hourly rate
-
System-Specific or Disease Specific Questionnaire $100
-
Insurance Medical Examination $230
-
System-Specific Examination $110
-
Clarification Report $375/hour
-
Full Narrative Report $375/hour