Note/Work/Daycare/MD Note |
20.00 |
Modified Duty Form |
40.00 |
TB One Step (visit not included) |
30.00 |
TB Two Step (visits not included) |
60.00 |
Travel Immunization-visit only (vaccine not included) |
40.00 |
Driver's Medical Exam |
100.00 |
Disability/Ability Form |
40.00-100.00 |
Liquid Nitrogen (per lesion, per treatment) |
20.00 |
Adult Physical (No MHSC) |
120.00 |
Intermediate Assessment (No MHSC) |
60.00 |
Minor Assessment (No MHSC) |
60.00 |
Counselling (per 1/2 hours) (No MHSC) |
100.00 |
ECG for Third Party |
25.00 |
Blood Work for Third Party |
20.00-200.00 |
Missed Regular Appointment |
60.00 |
Missed Other Appointment (Complete Physical, Counselling Appointment or Specialist Appointment) |
120.00 |
Chart Transfer pages 1 - 5 |
40.00 |
Chart Transfer beyond page 5 |
40.00 and up |
Camp/School Forms |
100.00 |
Travel Cancellation Form |
40.00 |
Certificate Compassionate Care E.I. Benefit |
40.00 |
Canadian Medical for Immigration |
120.00 |
C.P.P. Disability Report (65+) |
60.00 |
Federal Disability Tax Credit Form |
100.00 Initial
40.00 Followup |
Auto Sales Tax Rebate Form |
40.00 |
Phone Advice (patient initiated) |
40.00 |
Travel Advice |
40.00 |