Uninsured Services & Fees
Services Not Covered By OHIP
Orleans Family Health Clinic and your Family Doctors are committed to provide you with the best medical care, promptly and in a pleasant and professional environment.
Orleans Family Health Clinic supports public health care and is proud of Ontario’s Health Insurance Plan (OHIP). It is important for patients to understand that there are certain medical examinations and services that are not deemed medically necessary by the Ontario Health Insurance Plan and are therefore uninsured. These services, such as: insurance forms, legal letters, sick notes, cosmetic medical procedures, etc., are called “non-insured or uninsured services”. Your doctor at Orleans Family Health Clinic will charge for uninsured services in accordance with the fees guidelines set by the Ontario Medical Association (OMA) and the College of Physicians and Surgeons of Ontario (CPSO).
The following list accounts for most commonly requested uninsured services. However, if the service you request is not on the list below, please communicate it to the clinic’s staff or your doctor and you will be given further clarification.
All uninsured services must be paid in full when rendered. A receipt will be provided upon settlement of the account. Please be advised that, currently, our office accepts cash, debit and cheque for these services.
*All fees are subject to change without notice.
OFFICE/ADMINISTRATIVE | |
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Missed Appointment with short notice | $25.00 |
Missed Physical Examination without 24h notice | $50.00 |
Orleans Family Health Clinic Uninsured Services | |
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Sick Notes: | $25.25 |
Fitness For Work: | $50.00 |
Physio, Ortho & Massage: | $25.25 |
Prescription Refills Without an Appointment: | $25.00 |
Driver's Medical Appointment | $339.00 |
Third Party Medical Appointment: | $160.00 |
Attending Physician Statement: | $160.00 |
Basic Out of Province Visit (30 min): | $75.00 |
Major Exam Out of Province Visit (30 min): | $120.00 |
Chart Transfer: | $50.00 |
Ear Flush: | $25.00 |
Injection Fee: | $30.00 |
Forms for School/Camp: | $36.25 |
Admission Form School: | $36.25 |
Pre-Employment Fitness Certification: | $47.75 |
CPP Disability Benefit: | $115.00 |
Disability Certificate: | $256.00 |
Wart/Skin Tag Removal: | $40.00 |
TB One Step: | $80.00 |
TB Two Step: | $160.00 |
*Please Note: This is not a complete list. Speak with a receptionist regarding any forms for pricing.

EMERGENCY? CALL 9-1-1
If you have a life-threatening medical emergency, contact 911 immediately!
Dial 911 to call an ambulance. Calling this number is free from any phone. Once in contact with the 911 operator, notify them of any health problems you or someone you know is facing. They will be able to evaluate the urgency of the situation and send an ambulance if needed.
For non-life-threatening conditions, same day emergency appointments are available with your doctor. (Please note that same day emergency appointments MUST be booked in the morning.)
After hours or on holidays, please call Telehealth Advisory (1-866-797-0000) to speak with a registered nurse. This service is free, confidential and available 24/7.