Uninsured Services

Clear and straightforward fees for administrative and non-covered services.

Note: Updated February 2026. Prices are current at the time of printing, but are subject to change.

Uninsured Services Fee List

Insurance notes – $10
Sick note/Letter – $25
Non OHIP covered regular appointment – $65
Non OHIP covered regular appointment AFTER HOURS (Sat/after 5 PM) – $85
Non OHIP covered joint/bursa cortisone injection – $30
Non OHIP covered ear syringing – $20
Non OHIP covered physical exam – $130
Non OHIP covered HPV screening test – $115
Non OHIP covered vaccine – $5
Attending physician's statement – $140
Children’s aid adoption form – $85
Pre-employment certificate of fitness – $50
First 20 pages of patient chart-printed copy – $30
Per page of patient chart – $0.29
Full patient chart on USB (includes postage/USB) flat fee – $50
Auto dealership forms for discount – $25
Special authorization for drug coverage Forms (ODB/private) – $45
Disability Tax Credit form – $75
Functional abilities form – $25
Fitness club form – $30
Immunization records replacement (yellow card) – $20
Long term disability form (OCF 3, 19, 18) – $140
Medical certificate (employment, prenatal, sickness) – $30
MTO physical and form – $140
MTO additional assessment form – $40
Camp & school physical with form – $40
Short term disability form – $45
TB test 1 step – $40
TB test 2 step – $80
Proof of immunization form (school/work) – $30
Retirement home admission form – $100
Simple forms not specified 10 minute increments – $10
Legal letters, complex forms, special correspondents 10 minute increments – $40