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Non-Insured Services
Non-insured services are those services provided to patients that are not covered by the Ontario Health Insurance Plan (OHIP). The Ministry covers all insured medically necessary services provided by physicians, however, it does not pay for services that are not medically necessary. These may include: writing sick notes, chart transfers or summary of your medical records, cosmetic procedures, charges for missed appointments, completing forms for insurance, licensing, legal or employment purposes, assessments and diagnostic tests required for completion of reports or licenses, pre-departure travel medicine services for travelling outside of Canada, or your health card is not valid.
Medicals
Driver's Medicals - $150.00*
*Any follow up forms required are billed at $30.
Fire Fighter's Medical - $150.00*
*if Driver's Medical is not required, the medical alone is $130.00
Pre-Employment Medical - $130.00*
*Price may vary dependent on the complexity of the form
Foster Parent Medical - $130.00
Work Forms and Notes
Off Work Note - $20.00
Functional Abilities Form - $30.00*
*provided by employer - not WSIB
EI Medical Certificate - $30.00
Short Term Disability Form - $60.00
Medical Absence Reports (MAR) - $60.00*
*Including AHCS MAR, OPG MAR, school board absence reports
Government Forms
Disability Tax Credit - $100.00
Canada Pension Plan Disability Benefits - $85.00*
*billed to Service Canada
Insurance Forms
Disability Certificate (OCF) - $125.00
Attending Physician's Statement (Dynacare) - $125.00
Attending Physician's Statement - $60.00
* Manulife, SunLife, RBC, etc.
Pharmacy Medication Coverage- $40.00
Life Insurance Death Certificate - $30.00
Records Transfers
Electronic Records Transfer - $30.00*
*sent on jump drive
Paper Records Transfer - $30.00*
*for Pages 1-20, each additional page billed at $0.25
Medical Treatments Not Covered by OHIP
Cyrotherapy – wart removal per treatment - $10.00**
**Excludes treatments on feet and genitals.
Cyrotherapy – minor skin lesion (non-cancerous) - $10.00
Surgical procedure – minor skin lesion, cosmetic (no sutures) - $20.00
Surgical procedure – minor skin lesion, cosmetic (sutures required) - $50.00
Injection requiring lidocaine - $5.00 per vial
This includes: joint injections, trigger finger injections, trigger point injections, etc.
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