| MISSED APPOINTMENT – ROUTINE VISIT | $50.00 |
| MISSED APPOINTMENT – PHYSICAL/COUNSELLING | $100.00 |
| PRESCRIPTION RENEWAL WITHOUT VISIT | $20.00 |
| PRESCRIPTION FOR MASSAGE/PHYSIO/CHIRO/ORTHOTICS | $25.00 |
| BACK TO WORK/SCHOOL NOTE | $25.00 |
| EI MEDICAL CERTIFICATE | $50.00 |
| MTO DRIVER’S MEDICAL & FORM | $300.00 |
| PRE-EMPLOYMENT FORMS | $45.00 |
| CERTIFY FREE FROM COMMUNICABLE DISEASE | $25.00 |
| DISABILITY TAX CREDIT FORM | $100.00-$200.00 depending on complexity |
| DISABILITY CERTIFICATE (OCF3) | $240.00 |
| MEDICAL REPORT FOR CPP DISABILITY | $100.00 |
| TRAVEL CANCELLATION INSURANCE FORM | $75.00-$150.00 depending on complexity |
| LIFE INSURANCE/DEATH CERTIFICATE | $75.00-$150.00 depending on complexity |
| APPLICATION FOR FOSTER PARENT FORM | $200.00 |
| TRANSFER OF MEDICAL RECORD – PAPER COPY | $35.00 1st 20 pages then $0.30/page |
| TRANSFER OF MEDICAL RECORD – ELECTRONIC/CD | $35.00 |
| FORMS FOR INSURANCE/LEGAL PURPOSES | $25.00-$50.00+ per page depending on complexity and time required |
| CRYOTHERAPY | $30.00+ per lesion |
| EXCISION OF COSMETIC LESION | $150.00+ per lesion depending on time required |
| CIRCUMCISION | $350.00 |
Fees to be paid before service is provided.
Accommodations can be made for financial hardship on a case-by-case basis.
Updated May 2024
