Uninsured Services Fee Schedule
The following services are not covered by OHIP and are subject to fees. Prices may vary based on complexity.
Forms & Letters
Sick Note / Doctor's Letter$25 - $50
Form Completion (varies by form)$40 - $80
Attending Physician Statement$50 - $150
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
Immunization Form$25 - $50
Medical Records Request$50 - $100
Chart Copy (First 20 pages)$0.25 per page after 20
FAF Form$40 - $80
Medical Exams
Driver's Medical Exam$125 - $200
MTO Physical & Form$120 - $180
Consultations
Non-OHIP Visit$100 - $160
Lab & Testing
TB Test$40 - $60
TB Read$20 - $40
Prescriptions
Prescription for Massage/Physio$30 - $50
Procedures
Ear Flushing (Per Side)$30 - $50 per side
Warts/Skin Tags (1-3)$10 - $30
Warts/Skin Tags (4-5)$50 - $80
Administrative
No-Show Fee$40 - $80