Uninsured Services

Uninsured Services and Fee Policy

OHIP pays for most medical services, but some services — like forms, notes, and certain procedures — are not covered.

Doctors are not allowed to bill OHIP for these services. They take time and resources to complete, so there is a fee.

All uninsured service fees are updated annually to reflect current standards set by the Ontario Medical Association (OMA).

Important Notes:

Uninsured services, like forms are not urgent, and may take up to 45 days to complete, following guidelines from the College of Physicians and Surgeons of Ontario (CPSO).

Don’t see the service you need? Please contact our office — we’re happy to help.

Examples of Common Uninsured Services:

Sick notes
Insurance forms
Prescription renewals without an appointment
Emailing test results
Chart transfers
Work assessments
Notes for physiotherapy, massage therapy, chiropractic care, etc.

Payment Policy:

Full payment is due at the time the service is rendered.
Prepayment or a deposit may be required for certain requests.

Prescription Renewal Policy:

Medications are prescribed to last until your next scheduled appointment (up to one year for chronic medications).
Renewals must be handled during appointments.
Emergency phone renewals incur a $25 fee and may take up to two weeks.
Pharmacies may provide a 2-week emergency supply if needed.

Uninsured Patients (Quebec Residents or Private Pay):

Intermediate Assessment (short visit): $123.55
General Assessment (long visit): $284.40
Urgent After-Hours Visit: $160.60

Ontario Health Card Policy:

Please bring your valid OHIP card to every visit.
Patients without a valid card will be charged directly for services, as the visit is considered uninsured.

Fee....................................................Service
$10...................................................Requests of copies of results or reports.
$25...................................................Prescription renewal without an appointment
$30..................................................Referral note for physiotherapy, massage, chiropractic, orthotics, medical device (each)
$25.................................................Sick Note
$10.................................................Replacement of requisition, prescription, or receipt, etc.
$35+..............................................Medical Letter
$30..................................................School medication administration form
$50.................................................Employment proof of immunity form
$38.................................................Ear flush: not medically necessary
$60+..............................................EAP (Exceptional Access Program) form
$45.................................................Certification of fitness form
$50.................................................Employee absentee form
$65+..............................................Travel Cancellation Insurance form
$250+...........................................Third party forms and physicals
$225.............................................Driver’s Medical examination and form
$300+.........................................Government Pension Buyback physical and form
$160+.........................................Attending physician’s statement
$150+.........................................Disability Tax Credit form
$18...............................................Rapid strep test

$50..............................................Missed short appointment
$100...........................................Missed long appointment
$15...............................................Missed Appointment with Nursing
$30..............................................Same Day Appointment Cancellation (Less than 24 business hours)

Please note: Fees are subject to change without notice.

1-Copies of results and reports could be obtained by signing to various hospitals, labs, and imaging facilities.
+ Minimum is noted, additional fees may apply.

Thank you for your understanding and cooperation.