Fee Guide for Uninsured Services

Uninsured services COVERED by the Basic Wellness Plan

General Uninsured Services

Service Price
Prescription Renewals by phone/fax/online (when appropriate and only at the request of the patient) $24.99
Letters on behalf of patients (depending on time and work involved) $24.99 – $199.99
Wart Treatment $29.99/treatment
Lost Prescriptions, Notes, Referrals $24.99
TB Skin Test(3rd Party Request) $49.99
TB Test + Reading $39.99
Medical Examination for Return to Work requested by Employer $74.99
Third Party Physical Exam $159.99
Photocopying – Transfer of Medical Records $29.99 first 20pg, $0.24/pg after
Ear Cleaning $39.99

Medical Report/Forms

Service Price
Citizenship and Immigration Report $49.99 – $74.99
Commercial weight loss program $44.99
Illness and Return to Work Notes $24.99
Employment Insurance / Maternity Certificate $44.99
Fitness Club Forms $24.99
Private Insurance Forms $29.99 – $199.99
Pre-employment Certificate of Fitness $44.99
Jury Duty Letter $24.99
Certificate of Medical Status $24.99 – $34.99
Massage Therapy and Orthotics $24.99
Revenue Canada Disability Form $149.99
Day Care Notes $24.99
School / Camp Forms(Excluding Examinations) $34.99
School / Camp Physical Examinations $74.99
Travel Cancellation Forms $49.99
Referral Note for Chiropractor, Physiotherapy, etc. $24.99
Children’s Aid Society Forms $44.99
Replacement of Immunization Certificate $14.99
Forms required for Volunteer Work $44.99

The following uninsured services are NOT COVERED by the Basic Plan

Available as per standard Provincial guidelines

Service Price
No show/late cancellation $39.99
Missed Annual Physical Examination $79.99
Attending Physician Statement $159.99
Driver’s Medical Form (MOT) (non-subscriber, $149.99) Basic plan subscriber $74.99
Legal reports SMA rate
Scroll to Top