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Uninsured Services

What are our uninsured services?

Non-OHIP covered services are those services provided to patients that are not covered by the Ontario Health Insurance Plan (OHIP). The Ministry covers all insured medically necessary services provided by physicians, however, it does not pay for services that are not medically necessary. These may include: writing sick notes, cosmetic procedures, charges for missed appointments, completing forms for daycare, insurance, legal or employment purposes, or if your health card is not valid on the day of your appointment, etc.

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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

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If you have questions or would like more information about uninsured services, please visit the Ontario Ministry of Health website or contact your nearest Service Ontario Office

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Uninsured Services Payment Update – 2024

Please note that payment is required before we can release any completed forms or paperwork related to uninsured services.

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The pricing details listed below were last updated on August 1st, 2024. If you prefer a downloadable version, you can access the same information in PDF format clicking the button below.​

Appointment Related

Service Name

Rate

Private Minor Assessment (no OHIP)

$65

Private Intermediate Assessment (no OHIP)

$100

Private General Assessment (no OHIP)

$235

Missed appointment - regular

$38

Missed appointment - physical/procedure

$88

Travel advice

$95

Travel immunization per vaccine

$25

Notes and Forms

Service Name

Rate

Third Party Forms (1 page)

$75

Third Party Forms (2-3 pages)

$100

Third Party Forms (more than 4 pages)

$50 per additional page/as per physician

Return to work notes/ sick notes

$25

EI sickness benefits

$45

EI compassionate care benefits

$67

CRA Disability tax credit certificate (T2201)

$150

Letters on behalf of patients

$50

Trip cancellation forms

$150

3rd party physical and form (adult)

Form only = $44.75
Physical + form = $250

3rd party physical and form ( under 16 yo)

Form only = 33.75
Physical exam + form = 200

Drivers medical and form

$200

Referrals for allied health without appointment for insurance (massage, physio, orthotics, etc)

$25

Extensive disability / insurance forms - on case by case basis.

Variable

Legal reports - on case basis

Variable

Procedure

Service Name

Rate

Newborn circumcision - up to 1 month only

$370

TB skin test if not publicly covered - per step

$60

Wart treatment if not covered by OHIP

Starting at $40

Skin tag removal with liquid nitrogen

Starting at $65

Skin tag/Non malignant mole/simple lesion removal

Starting at $80

Other

Service Name

Rate

Transfer of medical chart per person

$50

Transfer of medical chart per family

$100

Printing copies of chart pages 1-20

$30

Printing copies of chart - per page over 20 pages

$0.25

*Please be aware that payment is required prior to release of any completed paperwork

How to Pay

As a patient, you have the option to pay for services either in person at our accounts office or online if you have received an invoice number. You can make payments using a debit card, Visa, or Mastercard; please note that cash payments are not accepted.

Our accounts office is available Monday through Friday from 9 AM to 4 PM, and you can reached at 905-455-5464.

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Doctor's Clinic

366 Main Street North - Suite 201
Brampton, ON

Family Health Team

366 Main Street North - Suite 203

36 Vodden St East - Suite 307

Brampton, ON

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Queen Square Family Health Team operates on the Treaty Lands and Territory of the Mississaugas of the Credit First Nation. We acknowledge the territory of the Anishinabek, Huron-Wendat, Haudenosaunee and Ojibway/Chippewa peoples; the land that is home to the Metisl and most recently, the territory of the Mississaugas of the Credit First Nation who are direct descendants of the Mississaugas of the Credit. We are grateful to have the opportunity to work with and serve the people who inhabit this land, and by doing so, give our respect to its first inhabitants.

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