Most common

• Sick or back to work notes $25

• Missed regular appointment (with less than 24 hour notice) $75

• Missed periodic health exam/physical (with less than 24 hour notice) $135

• Disability tax credit form $105

• Certificate of freedom from communicable disease $25

• Allied Health Professional notes (ie physiotherapy, massage therapy, orthotics) at patient request, $25

• Prescription renewals (without appointment) $25

• Replacement of lost requisition $15

• Replacement of lost immunization records or amalgamation of immunization records $25

• TB skin test (for employment purposes, includes 2 visits for injection and reading) $45

• Privately paid injection or immunization (ie: travel vaccines) $25/vaccine

• Third party physical (including form) $200

• Uninsured visit (includes non presentation of health card or invalid health card) $75

• Uninsured periodic health exam $135 + itemized procedures

• 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)

• E-mailing of any chart contents to patients - min $5 charge

• Cosmetic procedures are variable, please inquire for details

• Cryotherapy (ie: warts or other skin lesions) min. $30

• Travel cancellation certificate $55+

• 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

• Veterans Affairs Medical Questionnaire - physical exam plus form for application - $305

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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 $75

• A physical exam is $135

• Add-on fee for a pap test is $25

• The visit might be subject to additional fees for certain procedures, such as (but not limited to) immunizations, biopsies, cryotherapy, ear syringing.

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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) $50

• Ministry of Transportation Physical Exam and Form $225

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Insurance Forms

• Attending Physician's Statement, Short-term/Long-term disability forms are billed at the physician's hourly rate - min $155

• Supplementary Insurance form $80+ 

• System-Specific or Disease Specific Questionnaire or Narrative $150+

• Insurance Medical Examination and form $225

• System-Specific Examination $110

• Clarification Report $375/hour

• Full Narrative Report $375/hour

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