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Uninsured Services


What are "non-OHIP" covered services or "uninsured services"?

Non-OHIP covered services/Uninsured Services are those services provided to patients that are not covered by the Ontario Health Insurance Plan (OHIP) which is determined by the Ministry. This includes services such as but not limited to: notes, forms, letters and certificates; referrals for physio therapy, massage therapy and orthotics; ear flushing and cosmetic procedures, wart removal/skin tag removal; as well as splints, tensor bandages and if your health card is not valid on the day of your appointment etc..

Why am I being charged for these services?

OHIP pays physicians for most medical services delivered to patients. Services not covered by OHIP are called uninsured services. Your physician will request a payment from you for those services. It is the patient's responsibility to pay for uninsured services.

How are the uninsured fee rates determined?

When fees are charged for uninsured services, they are based on the Ontario Medical Association's suggested fees as found in the most current edition of the OMA Physician's Guide to Third Party and Other Uninsured Services.

What forms of payment are accepted for uninsured services?  

Fees are payable by either cash or Interac e-Transfer and are due at the time of the service. The office staff will provide you with the specific email address for Interac e-Transfer at the time of payment.

For more information about uninsured services, feel free to visit the Ontario Ministry of Health website

Expired or Invalid Health Cards or No Health Card

A VALID Health Card is required for ALL visits at Acton Medical and Urgent Care.

If you DONT have a VALID Health Card a cash fee is required for ALL visits - See the fees listed below

The type of assessment that will be charged for is determined by the physician and is based on

OHIP guidelines

  • $   65.00  Minor Assessment

  • $ 105.00 Intermediate Assessment

  • $ 235.00 Major Assessment

Red + White Health Cards have been cancelled by OHIP without patient's being aware - Contact a Service ON location to update your Ontario Health Card.  

Residents of Quebec do not have Health Coverage that is compatible with OHIP and therefore cash payment is required, ALL other provinces are covered with OHIP using their VALID Province Health Coverage Card

Patients who DONT reside in Canada are required to complete an Out-Of-Country Form and a cash payment for the assessment is required.

Uninsured Fees

  • The below listed fees are a minimum fee, which may increase based on complexity of document or document format. The doctors reserve the right to make adjustments to the fees listed below at any time without notice.

  • The fee for any document that is not specifically listed below will be determined by the doctor upon their review of the document and their assessment of what is involved in the document completion.

Basic Documents

  • $   30.00  Sick notes (includes notes for return to work/school and free of communicable disease)

  • $   30.00  Documentation for Massage Therapy, Physiotherapy, Orthotics, Acupuncture, Chiropractic, Back Brace, or Compression Stockings for Insurance coverage

Completion of Form/Documents that may be associated with patient physicals

  • $   35.00  Schools/Camps

  • $   35.00  Admission to day-care, preschool, educational institutions, secondary education

  • $   45.00 - 240.00(based on complexity) Pre-employment certification of Fitness

  • $   45.00  Certification of Fitness for Fitness Facility 

  • $   45.00  Abilities Form for Workplace

  • $   20.00  Medical Clearance for Dental Procedure

  • $   40.00  Pre-Op Form (No longer covered by OHIP)

Completion of licensing Form/Documents:

  • $   80.00  Ontario Ministry of Transportation Driver's Medical Form/Physical

  • $ 150.00  Driver's Medical Form/Physical (ANY driver's medical form that is not 'Ministry of Transportation Ontario' Form)

  • $ 165.00  Civil Aviation Medical Examination/Form/Report

Other Form/Documents:

  • $ 240.00  CRA Disability Tax Credit Form

  • $   50.00  Medical Certificate for Employment Insurance Sickness Benefits

  • $ 230.00  Children’s Aid Society (CAS) Application for Prospective Foster Parent

  • $   20.00  CPP for Specialist 

Life, Health, Accident Benefits and Insurance Forms/Documents:

  • $ 165.00  Attending Physician's Statement (APS)

  • $ 165.00  Disability

  • $ 120.00  Drug Authorization 

  • $ 255.00  Treatment Plan

  • $ 140.00  Determination of Catastrophic Impairment

  • $ 165.00  Treatment Confirmation

  • $ 240.00  Insurance Medical Examination

Miscellaneous Form/Documents: 

  • $   65.00  Medical Certificate for Employment Insurance Compassionate Care Benefits

  • $   45.00  Life Insurance Death Certificate

  • $ 150.00  Travel Cancellation Form

  • $ 160.00  Citizen and Immigration Canada Medical Report for Immigration

  • $ 105.00  Request for Medical Information re:  Applicants to the Armed Forces


  • $   50.00  PAP not covered by OHIP (additional processing fee is billed directly by Dynacare Laboratory)

  • $   40.00 - 200.00  Skin Tag/Lesion Removal

  • $   40.00 - 100.00  Wart/Corn Removal (wart removal on feet may be referred to a dermatologist)

  • $   40.00  Ear Flushing/Wax Removal.....for 3 days prior to this appointment patients must administer 3 drops of mineral oil into the ears 5 times daily.


Medical Supplies

  • $   30.00  Arm Splint

  • ​$   40.00  Suture Glue​

  • $     5.00  Finger Splint

  • $     5.00  Tensor Bandage


  • $   30.00  Copying/Printing/Reproducing/Transmitting of Medical Records (first 20 pages), $ 0.25 per page thereafter

  • $   75.00  Travel Consultation for 1 patient

  • $ 125.00  Travel Consultation for 2 patients (in same family), $ 30.00 for each additional family member

          (Travel consultation fee includes the initial consultation and follow-up appointments to administer injection(s). 

           The travel consultation fee does NOT included the cost of purchasing the injection(s) at a Pharmacy)

  • $   60.00  TB 1 Step (2 in office appointments are required, these are time specific appointments)

  • $ 120.00  TB 2 Step (4 in office appointments are required, these are time specific appointments)

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