HealthLink Family Practice

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Un-Insured Services not covered by OHIP

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