Uninsured Services and Block Fees:

While most of your care is covered by the Ontario Health Insurance Plan (OHIP), certain medical and administrative services are not, and are charged for separately (see below). These costs are in accordance with guidelines set by the Ontario Medical Association (OMA) and the College of Physicians and Surgeons of Ontario (CPSO).

To reduce administrative costs, as well as for cost savings to patients, we also offer a Block Fee program. The Block Fee Program provides annual coverage for most services (see below for inclusions and exclusions). The Block Fee Program is optional; for those that do not wish to subscribe, each service will be charged individually.

Block Fee Program rates are:

Individual: $170 per year
Family (up to 5 family members [max 2 adults] at the same address): $250 per year

  
    Uninsured and non-OHIP Services
    Service Charge
    Block Fee
  

    Missed Appointment/Insufficient Cancellation Notice1

            Routine Appointment

            Physical/Counselling/Introductory Appointment
    
$50
$100
    
excluded
excluded
  

    Appointment without OHIP Coverage
    OMA Rate
    excluded
  

    Ear Syringing (when not covered by OHIP)
    $35
    excluded

  

    Drivers Medical Examination & Form
    $300+
    excluded
  

    Prescription Renewals without Appointment, per medication2
    $30
    included
  

    Work note/Sick note/Daycare note, per note3
    $30+
    included
  

    Immunization form
    $45
    included
  

    TB Skin Test (including form)3
       1-step
      2-step
    
$50-60
$65-75
    
included
included
  

    Administration of Uninsured Vaccine4
    $15
    included
  

    Medical Certificate for Insurance, per certificate5
    $35
    included
  

    Insurance Forms3
    $75-300+
    excluded
  

    Photocopying/Faxing/Emailing
       First 5 pages ($1/page thereafter up to 20 pages)
    
$15
    
included
  

    Chart Transfer6 (includes 20 pages)
     USB & Registered Mail billed separately
    $30+
    included
  

    Revenue Canada, Federal Disability Tax Credit
    $OMA physician hourly rate, $150+
    included
  

    Travel Advice7
    $50+
    included
  

    Excision of Benign Lesions, per lesion3
    $100+
    excluded
  

    Retirement Home Medical Forms3
    $50-200
    included
  

    Camp/School/University forms3
    with examination
    $45+
$90
    included
included
  

    Employment examination and forms3
    $45+
    included
  

    Fitness Certification form3
    $45+
    included
  

    Travel Insurance Cancellation form3
    $45+
    included
  

    Medical Certificate for EI
      Sickness Benefits/Maternity form
       Compassionate Care Benefits form
    
$40
$50
    
included
included
  

    Rebook/Re-refer missed Specialist Appointment
    $20
    included
  

    Reissue Lost Prescriptions/Requisitions2
    $20
    included
  

    Immunization Record replacement
    $15
    included
  

    Private Insurance Sickness & Disability Note3
       Short Term
       Long Term
    
$50-100
$75-200
    
excluded
excluded
  

    Other forms not covered by OHIP or Third Party Insurance3
    $100-350
    excluded
  

    Legal Letters
    $100 minimum, $300/h
    excluded
  

    Specialist referral without visit, limited circumstances8
    $20
    included
  

    CPP Disability Medical Report, Narrative Medical Report
    OMA physician hourly rate; patient responsible for any fees beyond government set rate
    excluded
  

Notes:

24 hours notice required for appointment cancellations
At physician's discretion; excludes narcotics, sedatives or antibiotics; allow 3 business days
Depending on complexity
Any vaccine not covered by OHIP
For massage therapy, physiotherapy, psychology, chiropractic, orthotics
Depending on number of pages, time needed for physician review
At physician’s discretion, depending on complexity
At physician’s discretion