Price Guide
Services listed below are not covered by OHIP or provincial health insurance. Our fees follow Ontario Medical Association suggested rates and are benchmarked against local clinics to ensure they are fair.
Prices may change. For the most current rate, call us or check in at the clinic before your visit.
We accept all Canadian-issued cards, most international cards, Apple Pay, Google Pay, Samsung Pay, and cash (exact change appreciated — we do not carry change).
Uninsured & Out-of-Province Visits
Consultation — no valid OHIP or Canadian provincial health card
A physician letter will be provided for insurance reimbursement submission
$100
Follow-up for same issue within 2 weeks
$60
TB Skin Test — administration (uninsured)
Excludes school, Ministry of Health, LTC admission, or medically necessary purposes (OHIP covered)
$110
TB Skin Test — reading only (uninsured)
$50
TB Skin Test — per visit (insured)
$30
General Notes & Forms
Back-to-work note, sick note, VIF, or daycare note
$25
MTO Medical Report (Driver's Physical)
$180
Federal Forms
Disability Tax Credit Certificate — T2201
$180
EI Compassionate Care Benefits Medical Certificate — INS-5216
$75
EI Sickness Benefits Medical Certificate — INS-5140
$50
Insurance & Disability Forms
Attending Physician Statement (Life/Disability Insurance Application)
$180
Insurance Certificates
see below
OCF-3 Disability Certificate
$256
OCF-18 Treatment Plan
$272
OCF-19 Application for Determination of Catastrophic Impairment
$151
OCF-23 Treatment Confirmation
$256
Short-Term Disability / Fitness to Work / Functional Abilities Form (Non-WSIB)
$50
Prior Authorization for Private Insurance Drug Coverage
For Ozempic/Mounjaro: non-diabetics are typically declined coverage by insurers
$50
School & Workplace
Proof of Immunization Forms
$50
Procedures — Liquid Nitrogen
Skin tag removal
$40 / tag
Wart treatment
Excludes genital warts, plantar (feet) warts, and skin cancers/pre-cancers (OHIP covered). Multiple sessions typically required.
$30 / session
Miscellaneous
CAS Medical Report (Adoption / Foster / Kinship / Customary Care)
$120
Uninsured prescriptions (refills, orthotics, massage, etc.) — if sole purpose of visit
$25
Prescription refill without a visit
Fee applies only if physician determines an appointment is needed and patient declines
$40 (if refused appt)
Medical records release — to patient or physician (digital copy)
No charge
Medical records release — to a third party
Contact clinic
No-Show to Appointment
Family practice visit
Waived
Specialist consultation (Men's Health, Metabolic Health)
Physician discretion
Pap test with Dr. Vanderkooy
$50
Questions about pricing?
Call us at (226) 686-0119 or drop in — we're happy to confirm costs before your visit.
Prices follow Ontario Medical Association suggested fees and are benchmarked against local clinic rates. All prices subject to change — confirm at time of service.