Forms for insurance coverage of massage therapy, compression stocking, orthotics, etc.
Insurance certificates #OCF-19 determination of catastrophic impairment
$160 each
Insurance certificates #OCF-3 disability certificate
$135
Life insurance death certificate
$45
Medical certificate for EI compassionate care benefit
$50
CAS application for prospective foster parent
$50
Medical certification/form of pre-employment, fitness clubs, hospital or nursing home employee
$45
Medical certificate for employment insurance maternity/sickness benefit INS5140
$30
Driver’s Medical Exam and form.
$200
Replacement of lost referral note, lab requisition or prescription
$20
Revenue Canada, Federal Disability tax credit
$85-$250
TB skin test for pre-employment (hospital, nursing home, volunteer)
$40/1 step, $60/2 steps
Forms for school, camps, preschool, daycare, university or other educational institution (excluding examination)
$30
Back to work/school note, sick note, daycare note
$30
Physical exam when request by 3rd party
$125
Liquid nitrogen for warts (OHIP only cover the treatment on foot and genital area)
$20 for initial and then $5 per additional
Cosmetic skin minor procedure (skin tags, etc.)
$10/each, up to $50
Replacement of lost referral note, lab requisition or prescription
$20
No-show fee
Regular visit–$40, Physical checkup–$65
Transfer medical records
$35 (first 20 pages) + 0.30/page thereafter.
USB $50
Copying
$1 / page
Uninsured Physicals
$75
Uninsured PAPs