1415 1st Ave W, Suite 2000,

Owen Sound, ON N4K 4K8

519-470-3030

Monday – Friday
8:30 am – 12:00 pm 
1:00 pm – 4:00pm

519-470-3030

1415 1st Ave W, Suite 2000,
Owen Sound, ON N4K 4K8

Uninsured Services

Some of the services you request from your Physician are not covered by OHIP.
The fees listed below are based on the Ontario Medical Association’s suggested fees as per January 2023

Service

Cost

Notes

Sick note/Back to work note

$25

 

Massage/Physio/Orthotics Note

$20

 

Missed appointment

$50

 

MTO Drivers Medical (exam and form)

$200

 

MTO Supplemental forms (diabetes, cardiovascular, etc).

$50

 

Medical certificate for EI benefits

$60

 

CAS Application for prospective foster parent

$65

 

Revenue Canada Disability Tax

$100

 

Insurance forms, life/travel (based on complexity)

$60-100

Based on complexity

Notes/Forms for schools/camps (basic form)

$30

 

Exam (non-OHIP; if required for forms)

$200

 

Short Term Disability Form

$50-80

Based on complexity

Long Term Disability Form

$80-120

Based on complexity

Travel/Trip Cancellation Form

$60

 

Travel Consultation

$75

 

TB test – Work/Volunteer

$45

 

Treatment of uninsured warts/skin tags/benign lesions with cryotherapy

 

 

1 or 2 lesions

$25

 

3-4 lesions

$40

 

5-9 lesions

$60

 

10+ Lesions

$80

Or as determined by provider

Ear syringing uninsured

$40

 

Chart/Record Transfer

$40

 

Send/Print Copies of Results

$20

up to 20 pages

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