Non-OHIP Covered Services
Cost
Notes  
Sick Note < 7 days (High School & Work) $25
Missed Exam (University/College) $60
Forms  
School/Camp/employment/daycar/volunteer medical/Parking permit $30
Fitness/pre-employment fitness $50
Pre-operative Form for non-OHIP procedures $100
Insurance Forms – WSIB $100
Short term disability forms (<14 days) $80
Long term disability forms (>14 days) $130
Driver’s Medical $150
Driver’s Medical Review form $60
Travel  
Travel Consultation $50/person
Travel Immunizations *Vaccine not covered by OHIP is extra* $10/injection
Travel Cancellation Form $60
Procedures  
Warts & minor lesions $15/lesion
Botox $10/unit
Dermal Fillers $550+
TB Mantoux Testing/reading $60 per step
Unrine Pregnancy test in office (at patient’s request) $10
Strep a rapid test $20
Ear syringing $25/visit
Blood work for Non-OHIP procedures $30
Out of country – Non-OHIP Card  
General Assessment/Prescription – Single issues $100
Physical Examination $150
Follow-up – Single issue $80
Non-Valid OHIP Card  
Expires and/or Non-Valid OHIP card $80

**When fees are charged for uninsured services they’re based on the Ontario Medical Association suggested fees as found in the most current edition of the OMA Physician’s Guide to Third Party and Other Uninsured Services.**
(Individual clinic may vary)
**Actual fees charged may be increased based on complexity of service provided**
**All fees are non-refundable and subject to change at the discretion of the clinic without notice.**
**Complex forms and/or physical assessments may require a booked appointment and additional days to complete.**