Table of Non-Insured Services
Some of the services we provide are not covered by Medical Services Insurance (MSI). These services are the responsibility of the patient, and fees are applied as listed below.
Please note: Fees may vary based on the time required and the complexity of the task.
| Service | Fee |
|---|---|
| Procedures | |
| Physician Ear syringing (Nurse syringing is free) | $50 |
| Injections (e.g., Gardasil, Twinrix, Havrix, Shingrix) | $20 |
| Excision and suturing of benign lesion | $70 – $100* |
| Liquid Nitrogen treatment (e.g., seborrheic keratosis, non-plantar warts, skin tags) | $50 |
| Skin tag removal 1 – 10 | $60 |
| Skin tag removal 10 – 20 | $80 |
| Prescriptions and Referrals | |
| Prescriptions without office visit (more than 4 requests per year) | $15 |
| Referral for massage, physiotherapy, orthotics, medical supplies, etc. (outside office visit) | $15 |
| Uninsured Appointments | |
| Missed appointments | $30 |
| Certificate of Health visit (including brief form) | $40 |
| Travel advice visit | $50 per 15 min |
| Physical Exams | |
| Drivers’ Physical (including form) | $80 |
| Extensive physical and form | $150 |
| Physical requested by patient (i.e., no medical reason) | $75 |
| Form Completion | |
| Sick note | $10 |
| Insurance form | $20 – $40* per page |
| Work Leave form | $20 – $40* per page |
| Disability Tax Credit Certificate | $100* |
| Canada Pension Form (note $85 of this is paid by Government – remaining fee billed to patient) | $100 – $150* |
| Disabled Parking form | $15 |
| Exception Drug Status Form (e.g., Blue Cross) | $15 |
| Nursing Home / Institutional Admission Form | $40 |
| Immunization record | $20 – $40* |
| Other Services and Administrative Work | |
| Photocopying or printing | $0.25 per page |
| Medical record transfer or copy of chart (plus mailing charges as applicable) | $0.25 per page |
| Telephone advice from Physician if not covered by MSI | $15 |
| Long distance calls and fax charges | $ at cost |
Fee modification is subject to the discretion of treating physician.