Service Fees

OHIP Doesn’t Cover It All

Did you know that OHIP does not pay for all the services that may be provided by a physician or practitioner?
Below is a list of services that are NOT covered by OHIP or WSIB and are the patient’s responsibility to pay. These fees are consistent with other group practices and are either less than or equal to the rates published by the Ontario Medical Association.

Payment can be made by either cash, Visa, MasterCard or Debit upon arrival at the clinic. If you have any forms that you need your physician to fill out, pleases make sure that all areas that pertain to you are filled out before handing them in.



The Ontario Health Insurance Plan (OHIP) Does Not Pay For the Following Uninsured and Third Party Requested Services. 

These fees are in keeping with those suggested by the Ontario Medical Association (OMA)

Completion of Work & School Related Forms/Notes/Other  
Back to Work Note, Sick Note, Signature $15
Function Ability Form (non WSIB) $45
Medical Form School/Camp/Retirement Home $30
MTO – Medical Report (Driver Physical) $125
Other MTO Forms $50 and up
Insurance Forms/Certificates  
Attending Physician Statement (APS), Insurance Medical Questionnaire or Form $30 and up
Life Insurance/Death Certificate $40
RX for Massage/Orthotics/Physio $15
Travel Cancellation Insurance Form $40
Government/Agency Forms  
Disability Tax Credit Revenue Canada $35
Medical Certificate (EI) Employment Insurance Sick Benefits $25
Medical Certificate (EI) Employment Insurance

Compassionate Care Benefits

Procedures/Office Visit/Non-OHIP  
A003A  General Assessment $120
A007A Intermediate Assessment $60
A001A Minor Assessment $40
Elective Injections – Zostavax, Gardasil 9, Prevnar 13 $10
Pre-Op For Non-OHIP Covered Surgery $100
Travel Medicine Assessment 1st Family Member

Each  Additional Family Member



 Travel Immunizations Per Injection $10
TB Test/Mantoux Step 1 $20
TB Test/Mantoux Step 2 $30
Skin Lesion Removal up to 5 by Liquid Nitrogen – Skin Tag, Wart Treatment, Seborrheic Keratosis $30
Skin Lesion Removal more than 5 by Liquid Nitrogen – Skin Tag, Wart Treatment, Seborrheic Keratosis $50
Skin Lesion Removal Excision  including freezing/suture/cauterization etc  – example- mole, cyst $100 and up
Skin Tag Removal By Excision (up to 5) $40
Transfer of Records  
CD of Medical Records 1st Family Member

Each Additional Family Member



Failure to Attend Appointment/Procedure without 24/hr cancellation notice $30 to $80
Copy/Transmission of Medical Records $30 and up