Fees

Patient Fees for Uninsured Services

Most forms are not an insured service with your health coverage. In Ontario, the Ontario Medical Association (OMA) establishes the recommended fee annually. Below are the recommended fees for 2022, however, if a fee is not present, the fee charged may be established by the physician at an uninsured rate of $400/hr (prorated) for an uninsured service. For forms and notes, the fee covers the cost of the form only and an additional fee may be charged for assessments that are not medically necessary.

COVID-19

Description

Fees

Covid Antibody Testing  

175.00

No-Show, Cancellation Policy, and Applicable Fees

Student Health Services (SHS) requires 24 hours of notice to cancel an appointment. A fee will be charged in cases of lateness, missed appointments, or not giving adequate notice. In the case of appointments cancelled the same day or within 24 hours, you will be billed for a cancellation charge. Monday appointments must be cancelled by the end of the work day on Friday to not be billed for a missed appointment. The fee is determined by the type of appointment that was booked. Failure to pay the charges within 30 days will lead to the sealing of your academic records and an additional $50 administrative fee. SHS attempts to remind patients of their appointments, but it remains the student's responsibility to ensure an appointment is not missed.

Health Service or Physician Fees [No Show or Late Cancellation Charges]:

Description

Fees

No Show - Minor

48.50

No Show - Intermediate

75.20

Comprehensive assessment/medical 

168.90

No Show - Female Physical

90.85

No Show - Male Physical

79.27

No Show - 3rd Party Physical

130.00

No Show - Wart Tx (minor + cry...

35.40

No Show - Counselling - 20 min...

67.75

Psychiatric Consult No Show

230.00

No Show - other

1.00 + 5.00/min

GP Consult No Show

172.30

No Charge

0.00

No Show Pap Visit

75.20

No Show - Minor

23.75

Counsellor 

67.75

Fee Schedule is consistent with OMA guidelines.

Supplemental Services, Notes & Third Party Requests

Description

Fees

Prescription Renewal

22.00

Physical forms for schools, camps, daycare 

31.50

Physical forms for pre-employment certification of fitness/clubs or hospital/nursing home employee

42.00

Back to work/sick/daycare note

22.00

Driver's Medical Examination Form

65.00 (+exam 150.00)

Certificate of freedom from communicable disease

65.00

Medical Record Transfer
First 20 pages
Each additional page >20
Chart review

30.00
0.25/pg
160.00/hr
5.00/min

OSAP Disability Verification Forms
+intermediate visit fee

30.00

Accessible Education

40.00

Insurance Forms

Description

Fees

OCF-3 Disability Certificate

160.00

OCF-18 Treatment Plan

160.00

OCF-19 Determination of Catastrophic Impairment

132.00

OCF-23 Treatment Confirmation

159.00

Attending Physician's Statement

160.00

System Specific Examination

129.00

System Specific or Disease-Specific Questionnaire

107.00

Clarification Report

429.00/hr

Full Narrative Report

429.00/hr

Independent Medical Examination

429.00/hr

Life Insurance Certificate

54.00

Travel Cancellation Insurance Form

42.75

 

Government Forms

Description

Fees

Medical Certificate for EI Compassionate Care Benefits

62.00

CPP Disability Medical Report Form*

85.00

CPP Narrative Medical Report Form*

150.00

CRA, Disability Tax Credit Certificate

83.00

*Service Canada will pay “up to” the fees listed above. If a physician’s fees are higher than the fees listed, then patients are responsible for covering any extra costs.