Third-Party & Other Uninsured Services
Fee Schedule
As per Ontario Medical Association Guidelines:
Notes | |
Medical Notes
(ie. Return to Work, Orthotics, Chiropractor)
|
$10.00 - $20.00 |
|
|
Forms
|
|
Driver’s Physical and Form | $100.00 |
-Supplementary Forms from Driver's Physical | $30.00 |
*Insurance Forms (guideline only and is at the discretion of the physician based on complexity of form) |
$20.00 - $50.00 |
Travel Cancellation/Insurance Forms | $40.00 |
Medical Certificate/Report | $20.00 - $50.00 |
Elective Pre-operative | $30.00 |
|
|
Treatment | |
Cryotherapy - Liquid Nitrogen | |
Per treatment of wart removal | $10.00 |
Travel Medications | $10.00 |
|
|
Medical Records – Patient Request | |
1-5 pages
|
$10.00 |
6-10 pages | $20.00 |
11-20 pages | $35.00 |
Each additional page
|
$0.30 |
CD's - Flat Rate | $50.00 |
Postage costs responsibility of patient
(includes postage & registered mail)
|
$14.00 |
*This is a guideline only and is at the discretion of the physician. |
Please pay by cash at Front Office.