ADMINISTRATIVE CHARGES: | |
---|---|
INVALID HEALTH CARD | $35.00 |
PRESCRIPTION RENEWAL BY PHONE OR FAX | $20.00 |
MISSED APPOINTMENT | $35.00 |
MISSED 30 MIN APPOINTMENT | $60.00 |
INDIVIDUAL TRANSFER OF MEDICAL RECORDS | $45.00 |
FAMILY TRANSFER OF MEDICAL RECORDS | $60.00 |
GENERAL FORMS: | |
DRIVERS PHYSICAL & FORM | $155.00 |
SICK NOTE / BACK TO WORK NOTE | $20.00 |
NOTES FOR MASSAGE / PHYSIO / ORTHOTICS / CHIRO | $20.00 |
CHILD CAMP / SCHOOL PHYSICAL | $35.00 |
FORMS FOR SCHOOL | $30.00 |
DAYCARE NOTES | $20.00 |
ADOPTION PHYSICAL & FORM | $55.00 |
CAS APPLICATION FOSTER PARENTS | $60.00 |
CITIZENSHIP / IMMIGRATION CANADA MEDICAL | $150.00 |
INSURANCE FORMS: | |
FEDERAL DISABILTY TAX CREDIT FORM | $70.00 |
DISABILITY INSURANCE FORM | $30.00 – $55.00 |
EI MEDICAL DISABILITY NOTE | $45.00 |
MED. CERTIFICATE EI COMPASSIONATE BENEFITS | $45.00 |
DRUG REQUEST FORM | $20.00 – $55.00 |
MEDICAL FOR INSURANCE | $200.00 |
LIFE INS. DEATH CERTIFICATE | $50.00 |
EMPLOYMENT FORMS: | |
CMH EMPLOYEE MEDICAL EVALUATION FORM | $45.00 |
FEDERAL EMPLOYEE ABSENCE NOTE | $30.00 |
PRE-EMPLOYMENT PHYSICAL & FORM | $80.00 |
IMMUNIZATION FORMS FOR WORK | $30.00 |
FITNESS CLUB CPX | $40.00 |
EMPLOYEE CPX HOSPITAL / NURSING HOME | $40.00 |
PILOTS MEDICAL FORM | $55.00 |
APPLICATION FOR CANADIAN ARMED FORCES | $100.00 |
TRAVEL: | |
APPOINTMENTS FOR TRAVEL ADVICE | $35.00 – $55.00 |
TRAVEL CANCELLATION INS. FORM | $45.00 |
INJECTION OF TRAVEL VACCINE | $20.00 |
MOLE EXCISIONS: | |
1 MOLE | $125.00 |
2 MOLES | $175.00 |
CRYOTHERAPY / ELECTROCAUTERY (FOR WARTS): | |
1 WART | $20.00 |
2 WARTS | $25.00 |
3 WARTS | $30.00 |
4-6 WARTS | $35.00 |
7-10 WARTS | $40.00 |
CRYOTHERAPY / ELECTROCAUTERY (FOR SKIN TAGS): | |
1 SKIN TAG | $35.00 |
2 SKIN TAGS | $45.00 |
3 SKIN TAGS | $55.00 |
4-6 SKIN TAGS | $65.00 |
7-10 SKIN TAGS | $75.00 |
OTHER / SPECIAL: | |
EAR SYRINGING (ONE EAR) | $25.00 |
EAR SYRINGING (BOTH EARS) | $40.00 |
PREGNANCY TEST | $5.00 |
CIRCUMCISION | $350.00 |
DEPO MEDROL INJECTION | $20.00 |
OTHER INJECTION | $20.00 |