Uninsured Medical Services Policy

Services not covered by OHIP are the responsibility of the patient. This page outlines common uninsured services, fees, and medical record policies.

Overview

Note: Essential medical services are covered by OHIP. However, many services are not insured and must be billed as uninsured services. Our office follows Ontario Medical Association (OMA) guidelines but often charges below the OMA’s recommended rates.

We have listed the most commonly requested uninsured services below. If the service you require is not listed, please speak with our office staff for clarification.

Fees & Payment

Fees are based on OMA recommended rates (2009 Guide to Third Party & Other Uninsured Services) and fees from local medical offices.
All uninsured services must be paid in full at the time of service.
Accepted payment methods: cheque, credit card, and Interac.
A $20.00 fee applies for returned (N.S.F.) cheques.
If you cannot pay at the time of service, please notify staff so that arrangements can be made.

Transfer of Medical Records

When transferring medical records to another physician, charges are based on:

Time required for the physician to review your file.
Time required for staff to prepare, copy, or type the narrative.
Copying and courier costs.

To protect your privacy, records are sent by courier, unless you choose to pick them up at our office.

Record Retention & Access

Physicians must retain the original medical record; only copies can be released.
Records must be kept for 10 years after the last entry (adults).
For children, records must be kept until 10 years after the patient reaches age 18.
Patients are entitled to copies of all medical information, including records from other doctors (McInerney vs. McDonald, Supreme Court of Canada, 1992).

More information: CPSO – Medical Records Policy

Uninsured Services Fee Schedule

Service	Fee
Office Visit (without OHIP)	$100.00
Driver’s Medical Examination	$125.00
Missed Regular Appointment	$50.00
Missed Annual Physical Appointment	$100.00
Appointment Cancellation (<24 hrs)	$40.00
Disability Tax Credit Form (Revenue Canada)	$100.00
Employment Insurance – Maternity Form	$50.00
Immunization Record Replacement	$25.00
Return-to-Work / School Note	$25.00 – $30.00
Insurance/Therapy Notes (massage, orthotics, physiotherapy, etc.)	$30.00
Citizenship Form	$100.00
Travel Cancellation Form	$40.00
Attending Physician Forms (Insurance/Employment)	$75.00 and up
School / Camp / Daycare Form	$50.00
Liquid Nitrogen Treatment (cosmetic)	Physician Designated
Wart or Skin Tag Removal	$100.00 and up
Full Narrative Insurance Report	$150.00 per page and up
Excision of Non-Malignant Skin Lesion	$150.00 and up
Cortisone Injection	$20.00
Ear Syringe	$40.00
Pessary Insertion (cash or cheque only)	$70.00
TB Test (two-step)	$60.00
Medical Records (on USB)	$60.00

Note: “Physician Designated (PD)” means the physician will determine the charge based on the complexity of the service.

Fees for Transfer of Records

Prepayment is required.
Transfers are typically completed within 7 business days after authorization and payment.
Our fee for transferring records onto a USB is $60.00, lower than the OMA’s 2015 recommended rate.

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Uninsured Medical Services Policy