We offer a wide range of medical services. Below is an overview of what’s covered by MSI and what falls outside provincial coverage.
Insured Services (Covered by MSI)
General Office Visits Appointments for new or ongoing medical concerns, with care plans available for managing chronic conditions.
Preventive Health Check-Ups Comprehensive health reviews including screenings for cardiovascular risk, cancer, and chronic diseases. Full physicals are covered by MSI only when medically indicated.
Urgent Same-Day Appointments Same-day bookings for urgent issues. If your primary provider is unavailable, you may see another doctor or nurse within our collaborative practice.
Vaccinations Routine vaccinations for all ages, including annual flu shots. Some vaccines, such as travel vaccines, require a prescription and are not covered by MSI.
In-Office Procedures Minor procedures including liquid nitrogen treatment for warts, IUD insertions, minor lesion removal, skin tag removal, and joint injections.
Non-Insured Services
Certain services are not covered by MSI and are the patient’s responsibility. Fees are listed below and may vary based on time and complexity. Fee adjustments are at the discretion of the treating physician.
Procedures
| Service | Fee |
|---|---|
| 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 & Referrals
| Service | Fee |
|---|---|
| Prescription without office visit (more than 4 per year) | $15 |
| Referral letter for massage, physiotherapy, orthotics, medical supplies, etc. (outside an office visit) | $15 |
Non-Insured Appointments
| Service | Fee |
|---|---|
| Missed appointment | $30 |
| Certificate of Health visit (including brief form) | $40 |
| Travel advice visit | $50 per 15 min |
Physical Exams
| Service | Fee |
|---|---|
| Driver’s physical (including form) | $80 |
| Extensive physical and form | $150 |
| Patient-requested physical (no medical reason) | $75 |
Form Completion
| Service | Fee |
|---|---|
| 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 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 & Administrative
| Service | Fee |
|---|---|
| Photocopying or printing | $0.25 per page |
| Medical record transfer or chart copy (plus applicable mailing charges) | $0.25 per page |
| Telephone advice from physician (if not covered by MSI) | $15 |
| Long-distance calls and fax charges | At cost |