Uninsured Services Fee Schedule
The following services are not covered by OHIP and are subject to fees. Prices may vary based on complexity.
Fees are approximate and may vary. Ask our front desk for exact pricing.ServiceFee
Sick Note / Doctor's Letter$25 - $50
Form Completion (varies by form)$40 - $80
Driver's Medical Exam$125 - $200
Non-OHIP Visit$100 - $160
TB Test$40 - $60
TB Read$20 - $40
Attending Physician Statement$50 - $150
Prescription for Massage/Physio$30 - $50
Chiropractic/Orthotics/Stockings Form$30 - $60
CRA Tax Credit Form$45 - $85
Daycare Note$25 - $50
Long Term Disability Form$100 - $150
Short-Term Disability Form$60 - $100
Disability Tax Credit Form$85 - $120
MTO Physical & Form$120 - $180
Immunization Form$25 - $50
Medical Records Request$50 - $100
Chart Copy (First 20 pages)$0.25 per page after 20
Ear Flushing (Per Side)$30 - $50 per side
FAF Form$40 - $80
Warts/Skin Tags (1-3)$10 - $30
Warts/Skin Tags (4-5)$50 - $80
No-Show Fee$40 - $80