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Uninsured Services (non ohip covered)

Notes and Forms

Attending Physician Statement

150-300

Fee is dependent on length of form

Return to work notes/Sick Notes

40

Referrals/Massage/Physio/Orthotics/Chiropractor notes:

40

CRA Disability Tax Credit Certificate (Form T2201)

80-200

Fee is dependent on length of form

CPP Disability form

115

Travel insurance cancellations forms

150

Third party physical and form (under 16)

250

Driver’s medical and form

250

Form Only is 70

Pre-op for non OHIP surgery

250

CRA Notes for child benefit

40

Note for Drug Authorization

40

OTHER:

Transfer of Medical Charts

50

This charge is per person

TB SKIN TEST ( If not publicly covered)

(1 STEP) - 40 (2 STEP) - 60.

Form only - 40

Pregnancy Test - (Urine) Patients Request

10

Ear Syringing - at Patients Request

30 per ear

This is not covered by OHIP

MISSED APPOINTMENTS

65

Updated May 26, 2024 based on the OMA guide updated 2024

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