General
| Forms | |
|---|---|
| Driver’s Medical Examination (physical and form) | $150.00 |
| Fitness Club Form | $47.75 |
| MTO Form (driver’s license reinstatement) | $30.00 |
| Pilot Civil Aviation Form | $100.00 |
| Pre-Employment Medical | $42.00 |
| School Camp Forms | $36.25 |
| Sick Note | $25.25 |
| CPP Disability Medical Report | $40.00 paid by patients |
| CRA Disability Tax Credit Form | $150.00 |
| Miscellaneous | |
|---|---|
| Prescription Renew (phone/fax) | $20.00 |
| TB Skin Test: 1 Step/Documentation | $40.00 |
| TB Skin Test: 2 Step/Documentation | $40.00 |
| Reproduction or Transmission of Medical Records (copying or printing) | $30 (first 20 pages) +$0.25 per page thereafter |
| Reproduction or Transmission of Medical Records (secure electronic transfer) | $30.00 |
| Primary care new patient first visit (uninsured patient only) | $75.00 |
| Primary care subsequent visit (uninsured patient only) | $50.00 |
| Procedures | |
|---|---|
| Hand Wart Removal | $10 per treatment |
| Skin Tag Removal | $40 per treatment |
| Benign Lesion or Cyst Removal | $60 per treatment |
Audiology
| Service | |
|---|---|
| Standard hearing test | $100.00 |
| Extended high-frequency audiometry for tinnitus | $50.00 |
| Tinnitus counseling | $100.00 |
| Speech-in-noise test | $50.00 |
| Earwax removal (simple) | $50.00 per ear |
| Earwax removal (complex) | $70.00 per ear |
| Hearing aid evaluation | $120.00 |
| Customer earmolds | $120.00 |
| Ear impressions | $60.00 per ear |