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 Arrival/Cancellation Charges]:

Description

Fees

Minor Assessment

$24.25

Intermediate Assessment

$37.60

Wart Treatment (Cryotherapy)

$36.15

Pap Visit

$58.60

Mental Health Counselling (Physician Appt.)

$69.10

Psychiatry - Initial Consult

$220.00

Psychiatry - Follow-up

$88.60 to $177.20

Mental Health Counsellor

$20.00

The fee schedule is consistent with the Ministry of Health's Schedule of Benefits.

Supplemental Services, Notes & Third Party Requests

Description

Fees

Student Medical Certificate

$20.00

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.