Uninsured Services
| UNINSURED LETTERS AND FORMS | COST |
|---|---|
| Off-work/sick note | $35 |
| Special authorization for prescription | $40 |
| Simple insurance forms (one page) | $60 |
| Complex insurance forms (requiring review of chart). Cost based on time and complexity. | $120 + |
| Medical legal paperwork and other forms. Cost based on time and complexity. | Quote Required |
| TELEPHONE RELATED UNINSURED SERVICES | |
|---|---|
| Phone-in prescription refills | $40 |
| Medical advice beyond the scope of previous visit by phone, fax or online method | $100 / 15 min. |
| APPOINTMENT FEES: MEDICAL AND PHYSIOTHERAPY | |
|---|---|
| Non-resident of Canada appointment. | Quote Required |
| ADMINISTRATIVE | |
|---|---|
| Chart copies (access to medical record – from EMR) | $10 / 15 min. |
| Chart copies (access to medical record – from EMR) – other. CD or USB memory stick cost additional. | $10 / 15 min. |
| Transfer of records to another medical provider as requested by the patient. Cost based on time and complexity of request. | $50 + |