Non OHIP Services
Forms: (exam extra) 
Sick notes                                                                       20
Back to work notes                                                        20
Day care notes.                                                               20
Massage, chiropractor, orthotics,                                 25
physiotherapy notes                                                      25
Work/camp/school forms                                            25
CAS application foster parents form                           55
Forms for university/education institution                 40
Pre-employment certificate of fitness form               40
Health status for hospital/nursing home                    40
Jury duty letter                                                               30
Lost notes/prescriptions                                               15
Immunization summary form                                      20
Travel Cancellation form                                               45
Lawyer's letter /forms     (billed OMA rates/hour)
Insurance Forms:
OCF-18 treatment plan( billed to insurance)            140
OCF-3 disability certificate                                         140
Travel cancellation form                                               30
Life insurance /Death certificate                                 40
Attending physician's statement.                              130
Insurance Medical Questionnaire                                75
Disability forms short term                                          50
Disability Long term form.                                          100
Government Forms:
CPP disability medical form (billed to govt).                85
Revenue Canada Federal Disability Tax Credit.           45
EI disability /maternity certificate                                25
EI compassion care certificate                                     40
EXAMS
Non-OHIP full examination                                    80-120
Drivers Medical exam (and form)                       120-150
Physical exam required by third party (exam only)  120
School camp exam only                                               70 
                           
                        ***. all values in Canadian Dollars $$
 **PLEASE NOTE RATES MAY CHANGE
AT DOCTORS DISCRETION**
APPOINTMENTS***
WE REQUIRE 24 HOURS NOTICE FOR CANCELLATION OF ANY APPOINTMENTS
Missed regular appointment               40
Missed physical exam                          80
Missed counselling/
psychotherapy 20-30 min.  session.   70
Telephone advice                                  20
Staff to give results on phone.            20
Procedures:
TB Skin Mantoux Test
1 step              20
2 step              40 
form extra       50
Wart Cryotherapy
(not plantar or genital)
First                               25
Each  additional wart   10
Max $75
Skin Tag removal
50 - 200
Medical Supplies         at cost plus 50% overhead
Transfer of Medical Records
First 5 pages.      45
each subsequent page  TBD
 
Photocopying charts (patient requested)
First page                                                   5
Subsequent pages                                       1
Immunizations summary form              20
TRAVEL ADVICE 
Travel advice in the office                      50
Travel vaccines (per injection)               20
***  debit , credit , cheques NOT accepted