| SERVICE: APPOINTMENTS/CANCELLATIONS | |
| Regular Visit-No/Invalid OHIP | $45 |
| Sick note (off work/school) | $25 |
| Prescription renewal without appointment | $20 |
| Missed referral appointment rebooking fee | $20 |
| Missed appointment (not cancelled within 24 hrs) | $70 |
| Duplicate Immunization Record | $15 |
| Duplicate Test Requisition | $10 |
| Print/Copies | $1/page |
| SERVICE: MEDICAL FORMS | |
| Forms- Employment/School | $30 |
| Third Party Insurance Forms | $50 |
| Driver's Medical Form Only | $75 |
| Drivers Medical Examination: including form | $160 |
| Adult -Third Party physical -without forms | $100 |
| Child -Third Party physical -without forms | $100 |
| Disability Tax Certificate | $120 |
| Medical Chart Transfer: Family Photocopy | $60-120 |
| Medical Chart Transfer: Individual Photocopy | $30-60 |
| MRT Summary Electronic Single | $35 |
| SERVICE: PROCEDURES | |
| TB Skin Test (Employment Purposes): Step 1 | $40 |
| TB Skin Test (Employment Purposes): Step 2 | $70 |
| Ear Syringe (Unless medically indicated) | $30 |
| Wart/Skin Tag Removal | $30 |