Embedded Files
Non OHIP Medical Fees
The following services are not covered by OHIP and are paid by either the patient or Insurance company
Assessments (No Health Card)
General Assessment - $220.00
Intermediate Assessment/Well Baby $100.00
Minor Assessment $50.00
Completion of Forms: (Patient Pays)
School/Camps (short forms) $35.00
Certification of Fitness/Pre- Employment Certification $45.00
Back to work/Sick Notes $25.00
Day Care Note (Free of communicable disease) $25.00
Short Term Disability Form $55.00
Travel Cancellation Form $100.00
Application for prospective foster parent $230.00
Life Insurance Exam and Report $250.00
Employment Exam and Report $150.00
MTO Physical and Form $150.00
MTO Alcohol Assessment Form $110.00
Insurance Death Certificate $100.00
EI Sick/Maternity Certificate No Charge
EI Compassionate Care Certificate $65.00
Government Forms
Disability Tax Credit (Revenue Canada) $100.00
Citizenship and Immigration Canada Medical Report $130.00
Government Forms with no charge
CPP Medical Report Form (Billed to Government) No Charge
CPP Narrative Reports (Billed to Government) No Charge
CPP Reassessment Medical Report (Billed to Government) No Charge
ODSP Disability Form (Billed to Government) No Charge
Insurance Certificates and Reports
OCF-18 Treatment Form $255.00
OCF-3 Disability Certificate $240.00
OCF-8 Certificate of Health Practitioner $45.00
OCF-19/59 Determination of Catastrophic Impairment $135.00
OCF-22 Approval of an Assessment Examination $130.00
Attending Physicians Report $200.00
OCF – 23 Treatment confirmation $240.00
Procedures/Exams not covered:
TB Administration fee (for Employment) (1 step/2 step) $25.00/50.00
TB for Education billed to OHIP No charge
Travel Immunization/per visit (I.e Twinrix) $20.00
Benign Lesions L2N (warts/Skin tags etc) removal 1-5 $30.00
Benign Tumours (includes sutures) First one $200.00
Benign Tumours (Includes sutures) second one $100.00
Transfer of Medical Records
Pages 1-20 + Physician review of records $30 +$45
Each page thereafter $0.25
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