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Uninsured Services

What are "non-OHIP" covered services or "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.

Why am I being charged for these services?

OHIP pays physicians for most medical services delivered to patients. Services not covered by OHIP or another insurance plan are called uninsured services. Your physician will request a payment from you for those services. It is the patient's responsibility to pay for uninsured services.

How are the uninsured fee rates determined?

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.

What if I have questions?

For more information about uninsured services, please visit the Ontario Ministry of Health website or contact your nearest Service Ontario Office


Non-OHIP Insured Services
Toronto Western Family Health Team 2026

Missed Appointments (all health care professions)

Cost

Missed appointment or Late cancellation (less than 24 hours notice, notice only accepted Monday to Friday) $50

Uninsured Appointments (applies to patients without

provinical/federal coverage)

Cost

**PLEASE NOTE THAT ALL UNINSURED PATIENTS WILL BE CHARGED 

AN ADDITIONAL FACILITY FEE OF UP TO $718.00 BY UHN IN ADDITION TO THE FEES BELOW**

General Assessment  or Physical (A003) $255.00
Intermediate Assessment (A007) $110.00
Minor Assessment (A001) $70.00

Uninsured Services/Procedures

Pregnancy Test $10.00
TB Skin Test  (for employment or volunteer service) $25.00/step (not including forms)
TB Skin test form  $35.00
Liquid nitrogen treatment (OHIP covers feet and genital removals) $20+ depending on number of lesions
Ear syringing, not meeting OHIP guidelines $30.00
Removal of lesions (moles/cysts/skin tags) $50 - $200
Circumcision - Newborn - up to 1 month $280.00
Circumcision - Newborn - Over 1 month, Less than 2 months $395.00
Circumcision - Newborn - Over 2 months $460.00
Travel advice $60.00
Insurance Medical Examination $200.00
Vial of Methylprednisolone or Triamcinolone for Injection $20.00
Viscosupplement Medication (Durolane) & Procedure $450.00
Viscosupplement Injection Procedure $60.00
Viscosupplement Injection Procedure under Ultrasound Guidance $150.00
Saline Arthodistension $150.00

Forms

Cost

Completion of forms associated with physicals
School/camp $35.00
Admission to day-care, preschool, college/ university $35.00
Pre-employment - certification of fitness $45.00
Fitness/Sports Club $45.00
Hospital/Nursing Home Employee $45.00

Licensing Forms

Drivers Medical Exam (FLRC80): must add exam cost onto this $75.00
** Physical exam (A003) is an additional charge (330$ total, with form) $255.00
Work/School Forms/Notes
Notes - Sick Notes/Back to work, school or daycare $25.00

Insurance Certificates

Therapy Prescription - Massage/Physio/Chiropractic etc. $25.00
Prior Authorization/ Drug Approval Form  $35.00
Treatment Plan (OCF-18) $275.00
Disability Form (OCF-3) $260.00
Determination of Catastrophic Impairment (OCF-19) $155.00
Treatment Confirmation (OCF-23)  $260.00
Travel Cancellation Forms $165.00
Disease/System Specific Questionnaire $125.00
UIC Disability/Maternity Certificate $40.00
Insurance medical examination (assessment and report) $300+ depending on length of report
Full Narrative/ Clarification Report  $497.00/hour
Short Term Disability/ Fitness to Work/ Functional Abilities (Non-WSIB) $50+
APS (Attending Physician’s Statement) $160+ or MD hourly rate

Government Forms

CPP Disability Medical Report (paid by Service Canada) $85 paid by Serv Can  $200.00
CPP Narrative Medical Report (paid by Service Canada) $150.00
Federal Disability Tax Credit $150.00 or MD hourly rate
Employment Insurance (EI) Medical Certificate  $120.00

Miscellaneous

CAS - Medical Report/Form (Adoption/Foster/Kinship/Customary Care applicants in Ontario)  $250.00
Chart Transfer $30 (includes cost of USB stick)

Charges for Reproduction/Transmission of Medical Records 

(a) Copying/printing

(b) Digital reproduction of medical records, sent electronically (no transportation cost)

(c) Physician review of records (where applicable)

(a) $30 (first 20 pages) + $0.25 per page thereafter


(b) $30

(c) Physician's hourly rate, after first 15 minutes

Unremunterated Report Forms
Application for Accessible Parking Permit None
Ministry of Health Forms (eg., Assistive Devices, etc.) None
Accessible Transit Eligibility Application Forms None
Children's Aid Society Forms (on behalf of a child) None
Canadian Passport Application None
ODSP/Other MOH forms associated with a billing code None

Please Note: You may be reimbursed for your costs by your insurance provider.