
Services
OHIP covers most, but not all, medical treatments and services. Some common examples of services which are not covered include: forms for school, work or insurance purposes, Driver’s (MTO) Physicals, cosmetic procedures (eg. skin tag removal, some wart treatments), TB skin testing, some vaccinations, travel medicine, ear flushing etc. You are responsible for the payment of these services.
Please see our LIST OF NON-OHIP (THIRD PARTY / UNINSURED) COVERED SERVICES
Work and School Related Forms:
Sick note or back to work note ————————————————————————————————————— $25.00 + HST
School, Camp, Immunization Forms ——————————————————————————————- $40.00 - $60.00 + HST
Pre-employment, Fitness Clubs, Hospital/Nursing Home Employees —————————————————- $40.00-$60.00 + HST
Day Care Note (free of communicable disease) ——————————————————————————————-$25.00 + HST
Functional Abilities Form (FAF) Forms —————————————————————————————————$60 - $80 + HST
Insurance Forms & Notes:
Attending Physician’s Statement ———————————————————————————Physician’s rate; starting at $150.00
Full Narrative Report ———————————————————————————————— Physician’s rate; starting at $150.00
Massage/Physiotherapy/Compression Stocking/Orthotics Notes —————————————————————-—- $25.00 + HST
Employment Insurance (EI) Disability or Maternity Certificate —————————————————————————$45.00 + HST
Insurance Exempt Medication Form ———————————————————————————————————$50.00 + HST
Other Insurance Forms:
Treatment Plan – OCF-18 —————————————————————————————————————— $255.00 + HST
Disability Certificate - OCF-3 ————————————————————————————————————--$250.00 + HST
Determination of Catastrophic Impairment – OCF-19 ———————————————————————————$150.00 + HST
Treatment Confirmation OCF-23 ——————————————————————————————————— $250.00 + HST
Travel Cancellation Insurance Form ——————————————————————————————————- $150.00 + HST
Life Insurance Death Certificate ————————————————————————————Physician’s rate; starting at $150.00
Government Forms:
Disability Tax Credit Certificate (T2201) ————————————————————————————————-$150.00 + HST
CPP Disability Medical Report Form ——————————————————————————————————-$150.00 + HST
Children’s Aid Society Form for Prospective Foster Parents ————————————————————————--$225.00 + HST
Examination and Treatments:
TB Test (no charge for students or those requiring test for medical purposes) ——————————————————————--$0
Other TB testing 1 step (for work or volunteering purposes)————-——————————————————————-- $40 + HST
Other TB testing 2 step (for work or volunteering purposes)———————————————-———————————- $80 + HST
Drivers Medical Examination (MTO) Physical and Form Completion————————————————————-—$180.00 + HST
Ear Flushing —————————————————————————————————————————————— $50 + HST
Pap Test done at the request of the patient (NON OHIP covered) ———————————————————————— $80 + HST
Miscellaneous:
Miscellaneous Forms (Per page) ——————————————————————————————————————$50 + HST
Missed Appointment —————————————————————————————————————-$50.00 - $80.00 + HST
Invalid Health card ———————————————————————————————————————————- $50 + HST
Photocopy Fees ————————————————————————- First 20 pages - $30.00 + HST & $0.25 per page thereafter
Transfer of Medical Records ———————————————————————————————————————— $45 + HST
Please note that according to the College of Physicians and Surgeons of Ontario, a physician has 60 days in order to provide completed forms to third parties