The Following Uninsured Services are based as per the Ontario Medical Association – OMA
*Prescription renewals require an office visit to reassess the medical condition requiring the prescription. Please anticipate your renewals at your office visit.
| Service | COST (fee-for-service) | Comment |
| Uninsured Vaccine Administration | $30.00 | |
| TB Skin Test & Reading | $60.00 1-step | |
| Travel Cancellation Forms | $50.00 – $150.00 | Depending on length |
| TB Form Only | $30.00 | |
| Prescription Renewals by phone/fax | $30.00 -per request | Request of the patient/pharmacy |
| Illness and Return to Work Notes | $30.00 | |
| Lost Prescriptions, Notes, Requisitions | $30.00 | |
| Letters on behalf of Patients | $30.00 -$200.00+ | Depending on time/work involved |
| Photocopying/Printing | $1.00 per page | |
| TB Skin Test & Reading | $80.00 2-step | |
| Medical Supplies, Dressings, etc. | $30.00 | |
| Ear Syringing | $50.00 | |
| School/Camp forms | $50.00 | Not Including physical |
| Referral Note for Chiropractor, Physiotherapy, Massage, Orthotics etc for insurance | $30.00 | |
| Day Care Notes | $30.00 |
Generally, the production or completion of a document or form is considered an uninsured service. However, there are specific circumstances listed in the health Insurance Act under which the completion of a form may be insured, such as when the document/form is required to receive certain benefits under the Ontario Disability Support Program or to receive anything under a program administered by the Minister of Health
| Service | COST (fee-for-service) | Comment |
| Pre-employment Certificate of Fitness | $50.00 – $160.00 | Depending on time and work involved |
| Certificate of Medical Status | $30.00 | Depending on time and work involved |
| Fitness Club Forms | $50.00 – $100.00 | Depending on time and work involved |
| Private Insurance Forms | $30.00 – $500.00 | Depending on time and work involved |
| Replacement of Immunization Certificate | $30.00 | |
| Forms required for Volunteer Work | $50.00 | |
| Jury Duty Letter | $30.00 | |
| Employment Insurance / Maternity Certificate | $30.00 – $50.00 | Depending on time and work involved |
The following services are available as per the standard guidelines set by the Ontario Medical Association – OMA
| Service | COST (fee-for-service) | Comment |
| Legal Reports/other medical services | OMA Rate | $400.00 – $600.00 per hour |
| Insurance/Disability Forms | OMA Rate | $400.00 – $600.00 per hour |
| School, Camp, Employer Requested Physical Exam | $240.00 | Depending on time and work involved |
| Service | COST (fee-for-service) | Comment |
| Disability Tax Credit Certificate | $100.00 – $200.00 | |
| Travel Medicine Consultation /vaccination | $40.00 – $120.00 | Depending on time and work involved |
| Employers Forms | $50.00 – $200.00 | Depending on time and work involved |
| OCF-3 Disability Certificate | $100.00 – $200.00 | Depending on time and work involved |
| Children’s Aid Society Forms | $100.00 | |
| Transfer of Medical Records | $100.00 | |
| Missed Appointment | $50.00 – $100.00 | Without 24 business hours notice |
| Driver’s Medical Form (MOT) | $240.00 | Will be charged at 50% if Annual Fee is paid |
| Revenue Canada Disability Form | $100.00 | |
| Missed Annual Physical Examination | $200.00 | Without 24 business hours notice |
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