Fees

There are associated fees for uninsured services and non-OHIP insured services. Below are the outlined fees.

Fees for Services not Covered by OHIP: effective Jan 1, 2022.

Notes

Service	Fee
Sick / Back to work / School / Daycare	$20
Patient requested notes for allied health services	$20
Jury Duty Notes	$20
Modified duty / complex notes	$30

Missed Scheduled Appointments

Service	Fee
Regular Appointment	$30
Counselling Appointment	$60
Periodic health assessment / Procedural appointment	$60

Completion of Forms

Service	Fee
Trip Cancellation Form	$40
Life Insurance Death Certificate	$20
Medical Certificate of Employment Insurance	$20
Compassionate Care Benefits	$30
Driver's Medical form and exam	$175
Schools / Camps
Form only	$30
Form plus assessment	$100
Admission to daycare / preschool / university
Form only	$30
Form plus assessment	$100
Hospital / LTC employees Form	$40
Modified duties Form	$40
Pre-employment Certificate of Fitness Form	$40
Health Care Professional Immunization Form	$40
CRA Disability Tax Credit Form (T2201)	$50
Children's Aid Society (CAS) application
Prospective foster parent	$60
Form plus assessment	$100
Pre-adoption examination and assessment for Children's Aid Society	$150
Medical Certificate Employment Insurance Sickness Benefits (INS5140)	$20
Attending Physician Statement	$100
Insurance Medical Exam	$180

Other Services

Service	Fee
Provision / Transfer of Medical records at the patient's request *This includes the device and physician time for review / preparation	$40
Demand Surcharge (within 72 hours) *Additional cost per form	$30
Travel Medicine Consult (only for Dr. Laird's Patient's)	Individuals: $110  Families : $130
Travel greater than 8km/15min *Independently calculated	$xx