Ontario Medical Association (OMA) Aligned
Uninsured Services & Fee Guide
Services, forms, certificates, and cosmetic procedures not covered by OHIP. No annual block fee — pay only at the time of service.
Payment & Uninsured Policy
Payment is due at the time of service (Credit Card, Debit, or Cash accepted). All uninsured fees are subject to 13% HST.
Showing 39 services (All fees subject to 13% HST)
| Service / Item | Category | Fee (Plus 13% Tax) |
|---|---|---|
| Expired Ontario Health Card (OHIP) Visit Fee | Visits & Consultations | $60.00 + HST ($67.80 total) |
| Passport / Visitor Visa / Non-OHIP Visit Fee | Visits & Consultations | $100.00 + HST ($113.00 total) |
| Prescription Renewal Without a Visit | Visits & Consultations | $40.00 + HST |
| Travel Medicine Advice or Consultation | Visits & Consultations | $100.00 + HST |
| TB Skin Testing (when not medically necessary; 2-step testing) | Visits & Consultations | $35.00 per step + HST |
| Administration of Vaccinations Not Covered Under OHIP | Visits & Consultations | $20.00 + HST |
| Ear Flushing (when not covered by OHIP) | Visits & Consultations | $50.00 per ear + HST |
| Sick Notes / Back-to-Work Notes | Forms & Certificates | $40.00 + HST |
| Insurance Notes (Massage, Physiotherapy, Chiropractor, etc.) | Forms & Certificates | $40.00 + HST |
| Attending Physician's Statement (APS) Forms | Forms & Certificates | $200.00 + HST |
| Sickness & Accident Forms (Short-Term Only) | Forms & Certificates | $100.00 + HST |
| Functional Ability Forms / Return-to-Work (RTW) Forms | Forms & Certificates | $150.00 + HST |
| CPP Medical Report Form | Forms & Certificates | $150.00 + HST |
| Disability Tax Credit (DTC) Application | Forms & Certificates | $200.00 + HST |
| Camp and School Physical Forms | Forms & Certificates | $100.00 + HST |
| Pre-Employment Certificate of Fitness | Forms & Certificates | $100.00 – $200.00 + HST |
| School or Work Forms to Verify Immunization Status | Forms & Certificates | $100.00 + HST |
| Travel Insurance Cancellation Form | Forms & Certificates | $100.00 + HST |
| Retirement Home Admission Forms | Forms & Certificates | $200.00 + HST |
| Life Insurance Death Certificate | Forms & Certificates | $100.00 + HST |
| Special Authorization for Drug Coverage (Private Insurance) | Forms & Certificates | $100.00 + HST |
| Medical Certificate for EI Compassionate Care Benefits | Forms & Certificates | $100.00 + HST |
| Children's Aid Society Application for Prospective Parents | Forms & Certificates | $100.00 + HST |
| Guarantor Documents (Passports, Birth Certificates) | Forms & Certificates | $100.00 + HST |
| Letter for Exclusion from Jury Duty | Forms & Certificates | $100.00 + HST |
| EI Disability or Maternity Certificate | Forms & Certificates | $100.00 – $150.00 + HST |
| Other Simple Forms Not Otherwise Specified | Forms & Certificates | $40.00 – $50.00 / 5-min increment + HST |
| Driver's Medical Examination and Form | Driver's Medical | $200.00 + HST |
| Driver's Medical Follow-Up Assessments (Diabetes, Cardiovascular, etc.) | Driver's Medical | $150.00 + HST |
| Liquid Nitrogen Cryotherapy for Cosmetic Spots | Skin Procedures | $30.00 per spot + HST |
| Cosmetic Skin Tag Removal | Skin Procedures | $50.00 – $100.00 + HST |
| Wound Dressing Supplies | Skin Procedures | $30.00 + HST |
| Photocopying / Printing / Faxing of Chart Notes (Patient Request) | Administrative | $2.00 per page + HST |
| Missed Requisition or Lost Requisitions | Administrative | $10.00 + HST |
| Missed Appointment Fee (24-Hr Cancellation Policy / Without Notice) | Administrative | $30.00 – $50.00 |
| Rebooking of Missed Specialist or Test Appointment | Administrative | $40.00 + HST |
| Replacement of Lost or Misplaced Prescription / Test Requisition | Administrative | $30.00 + HST |
| Transfer of Medical Records (USB) | Administrative | $100.00 flat rate + HST |
| Administrative Fee for Mailing Overdue Invoice Reminders | Administrative | $10.00 + HST |
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