Rideau Family Health Team - Uninsured services

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Uninsured services	Fee
Prescription renewal^*1 for non-rostered patients	$15
Sick note/Back-to-work note²	$15
Routine office visit without a valid OHIP card	$60
Missed routine appointment or child physical	$50
Missed physical	$115
TB skin test³	$40
Faxing & photocopying^4,5and 1-5 pages Transfer of medical records each additional page Transfer of medical records on CD	$35 $1.50 $40 + shipping
School/camp forms²	$20
Daycare note²	$15
Fitness club form²	$30
Pre-employment certification of fitness²	$30
Driver’s medical physical & completed form²	$150
Citizenship and Immigration report²	$105
Revenue Canada Federal Disability Tax Credit²	$35
Canada Pension Plan (CPP) Disability Medical Report form²	$100
Employment Insurance Commission (EIC) Disability/Maternity Certificate INS2019²	$20
Travel cancellation form²	$30
Superannuation (form $35 + physical $110)	$145
Other forms not covered by OHIP²	$35 to $150
Uninsured vaccination (administration)	$10
Travel advice	$55
Wart treatment (one lesion/wart)	$15
Each additional wart	$5
Skin tag removal (first 1-5)	$25
Each additional skin tag	$5
Services rendered with Invalid OHIP card	$35 to $150

Notes:

Prescription renewals are uninsured when requested by the non-rostered patient, and are not associated with an insured service, and no other insured service is provided.
Forms and certificates are uninsured when they are provided at the request of the patient and are transmitted to a third party such as an employer, private insurer, and others.
TB skin test is uninsured when requested by the patient and/or is not medically necessary.
Faxing & photocopying is uninsured when it is provided for the patient’s personal use or for a third party.
Transfer of medical records is uninsured when it is at the request of the patient.
Referral notes are uninsured when the note is requested by the patient to obtain services that are not medically necessary.
Removal or treatment of warts is insured by OHIP only for plantar warts, genital warts and all warts in immunocompromised patients.

Last Updated - 22.07.09