Uninsured Services
Uninsured Services and all Third Party requested forms are not covered by the Provincial Health Insurance Plan and will be charged to the patient. These rates are outlined by the Ontario Medical Association and are charged accordingly.
We offer a “block fee” payment that will cover or discount uninsured services on a yearly basis. This “block fee” is paid in lieu of individual paying uninsured services. If you have questions about Block Fee payment, please call Doctors Services at 1-866-423-8267.
We accept for your convenience cash, debit, cheque, VISA and MASTERCARD.
A $25.00 fee applies to all NSF cheques.
If you did not receive a block fee letter, then please contact the clinic.
TELEPHONE PRESCRIPTION RENEWALS REQUIRE 3 BUSINESS DAYS TO BE COMPLETED. PLEASE ENSURE YOU HAVE ENOUGH MEDICATION OR GET YOUR PRESCRIPTION AT YOUR OFFICE VISIT.
Appointments
Uninsured Service Fees
No Show- Minor Assessment
No Show- Intermediate Assessment
No Show- Major Assessment
No Show- Virtual/Telephone Appointment
No OHIP Card or Expired Card
Records
Electronic copies of test results/medical records per request
Transfer of Medical Records by Paper/Fax
Transfer of all Medial Records by CD (includes 15 minutes of Review/Processing)
Procedures
Fees
$30
$40
$80
$40
$50
$5
$30.00 (first 20pgs - $0.25 per page after)
$50 (+ $45 per 15 mins after)
Driver’s Medical Exam + Form
Physical Exam required by Third Party
PAP (If under 21 yrs old OR less than 3 yrs since last PAP)
Travel Advice
Wart Treatment/ Liquid Nitrogen
Skin Tag Removal/ Cosmetic Mole
Prescription Renewals (only Dr. Lam/Dai charges)
Injections
$175.00
$130.00
$50.00
$60.00
$25.00
$60.00+
$25.00
Administering Injections
Cortisone Vial for Injection
TB Injection (for employment or volunteer services)
TB Reading (for everyone unless pays block fee)
SHINGRIX
Forms, Notes, Letters
$15.00
$15.00
$21.00
$15.00
$164.53
Medical Letter
Medical Note (work/school/etc.)
Allied Health Referral (physio, massage, chiro, etc.)
Disability Certificate
Disability Form
Disability Tax Credit Form
School Immunization Forms (University Admission)
Retirement Residence Admission Forms
Workplace Form for work (1 page)
Workplace Form for work (2+ pages)
Workplace FAF (not WSIB)
APS (with exam and forms)
APS (forms)
Pre-Employment Forms for fitness/hospital/nursing employee
Other Forms
Physician’s Hourly Rate
$25.00+
$25.00
$20.00
$160.00
$30.00+
Physician’s Hourly Rate (min: $85.00)
$30.00+
$30.00+
$25.00+
$35.00+
$35.00+
$160.00+
$50.00+
$40.00+
$25.00+
$300.00/hr
Block Fees
Not Covered
Not Covered
Not Covered
Not Covered
Not Covered
Covered
Covered
Covered
$87.50 (50%)
$65.00 (50%)
Not Covered
Not Covered
$12.50 (50%)
$30.00+ (50%)
Covered
Covered
Not Covered
Not Covered
Covered
$149.53
$12.50+ (50%)
Covered
Covered
$80.00 (50%)
$15.00+ (50%)
Physician’s Hourly Rate (50%)
$15.00+ (50%)
$15.00+ (50%)
$12.50+ (50%)
$17.50+ (50%)
$17.50+ (50%)
$80.00+ (50%)
$25.00+ (50%)
Covered
$12.50+ (50%)