
Services Not Covered by OHIP
Services Not Covered By OHIP

Non-Ohip Billing Fees
Type of ServiceNew Rate
Auto Accident Benefits $135.00
Camp/School/Daycare Form $30.00
Chart Transfer $30.00
CPP Disability Medical Report Form $85.00
Disability Tax Credit Form $75.00
Doctor Note (back to work/sick/day care) $20.00
Employment Certificate of Fitness $50.00
Forms for compassionate care benefits, trip cancellation $50.00
Forms for insurance coverage (massage, etc) $20.00
Immunization (out-of-province) N/A
Insurance Attending Physician Statement $125.00
Letters (per 1/2 hour) $50.00
Life Insurance Death Certificate $60.00
Liquid Nitrogen $25.00
Maternity Leave, employment, sickness benefit forms $20.00
Missed Appointments $40.00
Missed Physical Appointments $75.00
MTO Exam with Form$125.00
OSAP Disability Verification$50.00
Pre Placement Health Form Immunizations$30.00
Prescription RenewalsN/A
TB Test$40.00
Effective September 4, 2024
Service Name
This is the space to introduce the Services section. Briefly describe the types of services offered and highlight any special benefits or features.
Service Name
Uninsured Fees
What are "non-OHIP" covered services or "uninsured services"?
While the Ontario Health Insurance Plan (OHIP) covers medically necessary services, some procedures and administrative services are not, and physicians are not allowed to bill OHIP for them. The demand for these uninsured services has significantly increased and require considerable time and resources.
Please note that fees are subject to change. We encourage you to discuss any concerns regarding fees with your health care provider.
This list is not exhaustive but covers the most common non-insured services encountered.
*Fees are based on the 2024 OMA Physician’s Guide to Uninsured Services.
Service
Fee
Auto Accident Benefits
$135.00
Camp/School/Daycare Form
$30.00
Chart Transfer
$30.00
CPP Disability Medical Report Form
$85.00
Disability Tax Credit Form
$75.00
Doctor Note (back to work/sick/day care)
$20.00
Employment Certificate of Fitness
$50.00
Forms for compassionate care benefits, trip cancellation
$50.00
Forms for insurance coverage (massage, etc)
$20.00
Immunization (out-of-province)
N/A
Insurance Attending Physician Statement
$125.00
Letters
$50.00
per 30 min
Life Insurance Death Certificate
$60.00
Liquid Nitrogen
$25.00
Maternity Leave, employment, sickness benefit forms
$20.00
Missed Appointments
$40.00
Missed Physical Appointments
$75.00
MTO Exam with Form
$125.00
OSAP Disability Verification
$50.00
Pre Placement Health Form Immunizations
$30.00
Prescription Renewals
N/A
TB Test
$40.00