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COMMON NON-OHIP SERVICES - BILLINGS |
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OFFICE VISITS |
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Note: An annual physical exam for routine preventative care will not occur without |
a valid OHIP card unless prior arrangements have been made with the patient's physician |
Intermediate/Routine Visit (with no valid OHIP) |
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$60.00 |
Travel Advice (including basic office visit) 1 member |
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$55.00 |
Travel Adivce (including basic office visit) 2+ member |
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$75.00 |
Child Annual/Camp Physical |
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$65.00 |
Major Visit/Adult Physical |
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$115.00 |
Phone Prescription Renewal (non-rostered patients) |
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$15.00 |
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WORK/SCHOOL/MEDICAL FORMS |
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Sick Note/Back-to-Work- Note |
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$15.00 |
School/Camp Physical Forms |
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$22.00 |
Daycare-medical clearance to return |
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$15.00 |
Driver's Med Exam (MOT, FLRC80/ Forms) |
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$160.00 |
(Form $45 plus physical $115) |
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EI Disability/Maternity Report |
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$20.00 |
Pre-Employ Certificate of Fitness |
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$30.00 |
Medical Report-Canadian Immigrants |
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$112.00 |
CPP Disability Medical Form |
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$112.00 |
Federal Disability Tax Credit |
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$38.00 |
Superannuation (Form $45 + Physical $115) |
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$160.00 |
APS Forms |
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$165.00 |
Other Insurance Forms |
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TBD by Doctor |
Travel Cancellation Form |
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$30.00 |
Fitness Club Form |
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$30.00 |
Disability Form |
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TBD by Doctor |
Diabetic Questionnaire |
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$25.00 |
General Questionnaire |
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$25.00 |
Lawyer's Letters (1 page) |
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TBD by Doctor |
Lawyer's Letters (2 pages) |
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TBD by Doctor |
IMMUNIZATIONS |
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Non-OHIP covered (pt supplies serum) i.e. All injections needed for Travel |
$10.00 |
(HEP A, HEP B, Twinrix, HPV/Gardisil, Menactra,Zostavax/ Shingles,Thyphrix,Avaxim) |
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TB Testing(Mantoux). Includes visit giving TB test |
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$45.00 |
and reading the test. |
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PROCEDURES |
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Cryotherapy: |
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A) Wart-cryotherapy( w/out visit fee) |
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$15.00 |
B) Each additional wart |
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$5.00 |
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A) Seborrheic Keratosis (first lesion) |
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$35.00 |
B) Each additional |
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A) Skin Tags( first 1-5) |
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$25.00 |
B) Each additional |
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$5.00 |
Excision & Suture: |
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A) Moles, Cysts, Lipomas (first lesion) |
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$70.00 |
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B) Each additional |
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$25.00 |
CHART TRANSFER/FAXING AND PHOTOCOPYING |
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A) Chart Transfer-Paper |
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$50.00 |
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B) Chart Transfer-CD |
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$40.00 |
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C) Family Fee |
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$75.00 |
NO SHOWS |
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Missed Appointment (routine or child physical) |
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$50.00 |
Missed Appointment (AHE) |
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$115.00 |
Notes:
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Prescription renewals are uninsured when requested by the non-rostered patient, and are not associated with an insured service, and no other insured service is provided.
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Forms and certificates are uninsured when they are provided at the request of the patient and are transmitted to a third party such as an employer, private insurer, and others.
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TB skin test is uninsured when requested by the patient and/or is not medically necessary.
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Faxing & photocopying is uninsured when it is provided for the patient’s personal use or for a third party.
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Transfer of medical records is uninsured when it is at the request of the patient.Referral notes are uninsured when the note is requested by the patient to obtain services that are not medically necessary.
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Removal or treatment of warts is insured by OHIP only for plantar warts, genital warts and all warts in immunocompromised patients. |
