APS (Attending Physician Statement)
Request APS (attending physician statement).
Enter hourly rate
Payment is required
Supporting documents required
Non-OHIP Services
Request forms, notes, and other services that are not covered by OHIP. Fees and availability below come directly from the NOS service catalogue.
Disability Tax Credit Form
Request disability tax credit form.
$150
Payment is required
Supporting documents required
Ear Syringing / Wax Removal
Ear irrigation for wax removal.
$50
Payment is required
EI Medical Certificate
Request ei medical certificate.
$50
Payment is required
Supporting documents required
Medical Notes & Return-to-Work
Medical Notes for illness Absence and Return to work.
Medical Note Fee $25–$30
Payment is required
Supporting documents required
Medical Report for CPP Disability Benefits
Request Medical Report For CPP Disability Benefits.
$200
Payment is required
Supporting documents required
Ministry of Transportation Driver's Medical Exam & Form
Request ministry of transportation driver's medical exam & form.
$250
Payment is required
Supporting documents required
Minor Skin Procedure – Mole/Cyst Removal
Removal of Moles or Cysts by Minor Procedure.
Mole / Cyst Removal Procedure Fee $50-$250
Payment is required
Missed Appointment & Late Cancellation Fee
Appointment No-Show / Late Cancellation Fee
$50
Payment is required
Other
Request other forms or letters.
$0.00 CAD
Payment is required
Supporting documents required
Patient Medical Records Request
Medical Records Transfer Upon Patient Request.
Medical Records Copy & Transfer Fee
Payment is required
Supporting documents required
Photocopying/Printing/Emailing of Reports
Request photocopying/printing/emailing of reports.
$1/page pick up (min $5 E Transferer )
Payment is required
Supporting documents required
Physician Narrative Letter
Medical Narrative for Insurance or Legal Purposes.
Medical Narrative Report Physician Fee $100–$150
Payment is required
Supporting documents required
Physiotherapy / Chiropractic / Massage Referral
Referral Documentation For Therapy Services.
Rehabilitation Referral Fee $25–$30
Payment is required
Supporting documents required
Pre-Employment Certificate of Fitness
Request pre-Employment Certificate of Fitness.
$50
Payment is required
Supporting documents required
Prescription & Requisition Replacement
Request lost requisitions and prescriptions.
Lost Prescription & Requisition Replacement Fee
Payment is required
Prescription Refill Request
Patient is requesting a prescription medication refill without an appointment.
Prescription Refill – No Appointment
Payment is required
Private Insurance Forms
Request private insurance forms.
Enter Hourly Rate
Payment is required
Supporting documents required
School/Camp/Employment/Daycare/Volunteer Forms
Request school/camp/employment/daycare/volunteer forms.
$30-$50
Payment is required
Supporting documents required
TB Test & Reading - 1st Step
Request TB Test & Reading - 1 step.
$70
Payment is required
TB Test & Reading - 2nd Step
Request TB test & Reading
$45.00 CAD
Payment is required
Travel Consultation (including injections)
Request travel consultation (including injections).
$125
Payment is required
Travel Reimbursement Forms
Request travel reimbursement forms.
$150
Payment is required
Supporting documents required
Uninsured Appointment - Follow-up
Request uninsured appointment - follow-up.
Fee Determined by Physician.
Payment is required
Uninsured Appointment - Initial Visit
Request uninsured appointment - initial visit.
$125
Payment is required
Uninsured Appointment - Major Assessment/Physicals
Request uninsured appointment - major assessment/physicals.
$235.85
Payment is required
Uninsured Vaccine Administration
Vaccine Administration For Uninsured Patients.
$25
Payment is required