Below is a list of services that we provide, and the associated charges for these services that are not covered by OHIP. This list is not exhaustive but covers the most common non-insured services you may encounter.
Patients must pay for services that are not covered by the Ministry of Health as follows:
Notes, Forms and Certificates (when medically indicated)
| Type of Service | Description of Uninsured Form / Report / Service | Fee |
|---|---|---|
| Completion of Form Physicals for | Schools/Camps, Admission to Day-Care, Preschool, University or any other educational institution | $30 |
| Pre-employment Certification of Fitness | $40 | |
| Hospital/Nursing Home Employees | $40 | |
| Completion of Licensing Forms/Certificates: | Drivers Medical Examination and Form | $125 |
| Drivers Medical Form only | $65 | |
| Completion of Work and School Related Forms/Notes | Back to Work Notes/Sick Notes | $20 |
| Insurance Certificates: (An assessment fee can be charged in addition to the insurance form fee if an assessment is necessary to obtain relevant information needed to complete the form) | OCF-3 Disability Certificate | $160 |
| OCF-18 Treatment Plan | $160 | |
| OCF-19 Determination of Catastrophic Impairment | $130 | |
| OCF-23 Treatment Confirmation | $155 | |
| Medical Certificate for Employment Insurance Compassionate Care Benefits | $60 | |
| CPP and DTC Forms | CPP Disability Medical Report Form (T2201) | OHIP covered |
| CPP The Narrative Medical Report | OHIP covered | |
| Revenue Canada, Federal Disability Tax Credit | $83 | |
| Other Certificates | Medical Certificate Employment Insurance Sickness Benefits | $40 |
| TB Mantoux Testing*** | TB Test requested by Ministry of Health Program (e.g. Public Health). Includes test and form/report | OHIP Covered |
| TB Test requested for admission or continuation in a day care, pre- school, school, college, university or other educational institution. Includes test and form/report | OHIP Covered | |
| One Step TB Test | $30 | |
| Two Step TB Test | $60 | |
| Unremunerated Report Forms (Physician is NOT permitted to charge a patient for completion) | Application for Accessible Parking Permit/Transit Forms for | No charge |
| PR Card Forms/Request for Birth Certificate Form/Canadian Passport Application | ||
| Children’s Aid Society Form (on behalf of a child)/Ministry of Health and Long-Term Care (e.g. Limited Use, Assistive Devices | ||
| Chart copies | Copy of the Full Chart $30.00 (first 20 pages) + $.25 per page thereafter. | $30.00 + $0.25/pg |
| Copy of the Full Chart via secure email or other electronic transfer | $30 | |
| Copies onto USB stick | $30 | |
| Registered Mail Fee (additional) | $30 | |
| Prescriptions and Requisitions | Urgent Prescription renewal, or New Prescription without office visit (at physician discretion) | $20 |
| Letter for massage therapy, physiotherapy, orthotics, back support, stockings etc. | $20 | |
| Lost Requisition/Referral, Rebooking of missed specialist appointment or test | $20 | |
| Other | Missed Appointment | $25 |
| Administration of vaccinations/shots for travel (per shot) | $10 | |
| Liquid Nitrogen per lesion (warts, moles, skin tags etc.) | $20 | |
| Urgent Completion of Forms (1 wk vs 6-8wks) | $75 | |
| Replacement of immunization certificate | $25 | |
| Ear syringing*** | Ear Syringing | $25 |
| *** MAY BE COVERED BY OHIP IF CERTAIN CRITERIA ARE MET | ||