Services Not Covered By OHIP

Bur Oak Medical Centre and your Family Doctors are committed to provide you with the best medical care, promptly and in a pleasant and professional environment. However, there are services that you may request from your doctor that are not considered medically necessary by Ontario Health Insurance Plan (OHIP) and are therefore not paid by OHIP. These services, such as: insurance forms, legal letters, sick notes, cosmetic medical procedures, etc., are called “non-insured or uninsured services”. Your doctor at Bur Oak Medical Centre will charge for uninsured services in accordance with the fees guidelines set by the Ontario Medical Association (OMA) and the College of Physicians and Surgeons of Ontario (CPSO).

The folowing list accounts for most commonly requested uninsured services. However, if the service you request is not on the list below, please communicate it to the clinic's staff or your doctor and you will be given further clarification.

All uninsured services must be paid in full when rendered. A receipt will be provided upon settlement of the account. Please be advised that, currently, our office only accepts cash for these services.

Uninsured Services and all Third Party requested forms are not covered by the Provincial Health Insurance Plan and will be charged to the patient. These rates are outlined by the Ontario Medical Association and are charged accordingly.

Please Note: Fees associated with PROCEDURES such as other immunizations not listed below, skin tags and or mole removals, etc. will be based on assessment.

A $25.00 fee applies to all NSF cheques.

MISSED APPOINTMENTS
Missed or Cancelled Appointments (minimum of) $30.00
Missed Annual check-up appointment without prior cancellation $ 50

TELEPHONE/CHART TRANSFERS/PHOTOCOPYING
Chart summary/transfer of medical records (pages 1 through 5) $29.00
(Thereafter per page) $1.00
Photocopying & Faxing (per page) $0.50

FORMS & ASSESSMENTS
Driver’s Medical Examination (Physical + 1 Form) $75
(Additional Forms for Completion) $30.00
Insurance Medical Examination (Physical + 1 Form) $145.00
Pre-employment or Employment Physical $100.00

FORMS ONLY
Back to Work/Sick Note/Daycare $15.00
Disability Tax Credit (Revenue Canada, Federal) $30.00
Fitness Certification $25.00
Legal Letters, in-office telephone meetings Variable
Maternity UIC $17.00
Motor Vehicle Accident Form 4 $58.00
Private insurance, sickness, disability $25.00
School and Camp $15.00
Travel Advice Variable – Pls call our reception
Travel Cancellation Insurance Form $25.00
Unemployment Insurance $15.00
Documentation of TB test – Pls call our reception

PROCEDURES
Injection of Travel related vaccination (per vaccination) $15.00
TB skin test (administration only) $40.00