CHARGES FOR UNINSURED SERVICES AND PROCEDURES
Effective Dec 1, 2021
Payment for uninsured services is required upfront.
Exceptions can only be made with authorization from Dr. Wright.
| Notes for missed work/school | $20 |
| Notes/Prescriptions for services covered by insurance companies (physiotherapy, massage therapy, orthotics, counseling, etc.) |
$20 $10 for each additional note |
| Miscellaneous medical services when patient not in attendance (eg. request for insurance note for a family member not in attendance) | $20 |
| Medical advice pertaining to travel outside of Canada (includes prescription but not administration of vaccines) |
Individual $80 Family $120 |
| Administration of Immunization for Travel Purposes (per person) | $20 |
| Missed Appointment without sufficient prior notice |
Regular $45 Annual physical $90 |
Cost Estimates for some Common Forms (Does NOT include physical examinations – extra charges may apply):
| School, camp, daycare form | $32 |
| Fitness certificate (pre-employment/health clubs), trip cancellation form | $40 |
| Employment Insurance Medical Certificate | $32 |
| Federal Disability Tax Credit | $80 |
| Canada Pension Plan Disability Application | $40+ |
| Children’s Aid Society (CAS) Application for Prospective Foster Parent | $60 |
| Insurance, Medico-Legal, or other Reports | variable; as per Dr |
Third Party Medical Examination (includes completion of forms):
| Driver’s, Insurance, or Pre-employment Medical | $130 |
| Fitness Club Examination | $80 |
| Camp/School/Daycare Physical | $80 |
| Pre-operative/Pre-dental Physical | $80 |
Procedures/Tests
| Liquid Nitrogen treatment of warts (except plantar or genital), skin tags, seborrheic keratoses, or other benign lesions (up to 4 lesions per treatment) | $30 |
| Removal of benign lesions (eg. moles, skin tags, etc.) by excision and suture |
Single lesion $80 Two lesions $120 |
| Pap test when not covered by OHIP (does NOT include lab test fees) | $40 |
| Pregnancy test | $5 |
| Ear syringing | $30 |
Medical Records Transfer
| Base fee | $50 |
| Photocopy of results, notes, forms, etc. | $1 per page |
| Telephone services requiring long distance charges | $5 |
| Fax of prescription, notes, forms, etc. (at patient request) | $0.25 per page |