Home page
About Us
Health Programs
Patient Survey
Health Programs

Third-Party & Other Uninsured Services

Fee Schedule

As per Ontario Medical Association Guidelines:

Medical Notes 
(ie. Return to Work, Orthotics, Chiropractor)
$10.00 - $20.00

Driver’s Physical and Form  $100.00
-Supplementary Forms from Driver's Physical $30.00
*Insurance Forms
(guideline only and is at the discretion of the physician based on complexity of form) 
$20.00 - $50.00
Travel Cancellation/Insurance Forms  $40.00
Medical Certificate/Report  $20.00 - $50.00
Elective Pre-operative $30.00

Cryotherapy - Liquid Nitrogen
Per treatment of wart removal $10.00
Travel Medications $10.00

Medical Records – Patient Request
1-5 pages 
6-10 pages $20.00
11-20 pages $35.00
Each additional page 
CD's - Flat Rate $50.00
Postage costs responsibility of patient 
(includes postage & registered mail)
*This is a guideline only and is at the discretion of the physician.
Please pay by cash at Front Office.