| SERVICE: APPOINTMENTS/CANCELLATIONS | |
| Regular Visit-No/Invalid OHIP | $40 |
| Drs note (off work/school) | $25 |
| Prescription renewal without appointment | $20 |
| Missed referral appointment rebooking fee | $20 |
| Missed appointment (not cancelled within 24 hrs) | $50 |
| Duplicate Immunization Record | $15 |
| Duplicate Test Requisition | $10 |
| Print/Copies | First page $1, each subsequent page $0.25 |
| SERVICE: MEDICAL FORMS | |
| Forms-Third Party* Physical | $35 and up |
| Third Party Insurance Forms | $75 - $200 |
| 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 | $75 |
| Medical Chart Transfer: Family Photocopy | $60-120 |
| Medical Chart Transfer: Individual Photocopy | $30-60 |
| SERVICE: PROCEDURES | |
| TB Skin Test (Employment Purposes): Step 1 | $40 |
| TB Skin Test: Step 2 | $30 |
| Ear syringe not covered by OHIP | $30 |
| Skin Tag Removal | $35 and up |
| Wart Treatment (not covered by OHIP) | $30 and up |