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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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