top of page

UNINSURED SERVICES

PAY FOR THE YEARLY BLOCK FEE FOR PRESCRIPTION RENEWALS WITH A CREDIT CARD

Dr. Richard uses Chargebee to handle a yearly block fee. You can sign up using the link below. The fee is $50 CAD per year per patient. The alternative to paying for the yearly block fee would be to schedule an appointment every three months for a refill.

PAY THE YEARLY BLOCK FEE USING E-TRANSFER, CHEQUE, CASH, OR OTHER METHOD

Instead of using a credit card and Chargebee, you can choose to pay for the yearly block fee by e-transfer, cheque, or cash. In order to do this, please fill out the following form before making the payment. The block fee is $50 CAD per year per patient. Please arrange for this method with Annette before filling out the form. 

DR. ANNETTE RICHARD'S FEES FOR UNINSURED SERVICES

Fee structure as stipulated by the Ontario Medical Association.

  • Annual fee for prescription re-fills (no appointment required)

    • $50

  • Completion of forms for Driver's Physicals

    • $30

  • Sick note and/or Back to Work note

    • $20

  • Notes for Physio, Chiropractic, Massage, Hypnosis, Acupuncture

    • $20

  • Disability Tax Credit form

    • $50

  • Attending Physician's Statement

    • $140

  • CPP form

    • $85

  • Copying Medical records

    • $35 (first 20 pages)

    • $0.30 per page thereafter

WHAT YOU SHOULD KNOW ABOUT FEES FOR UNINSURED SERVICES

The following list is taken from the Ontario Medical Association (www.oma.org). See more here. The College of Surgeons and Physicians of Ontario also has a patient information sheet that you can read up on. And here you will find the official policies as set out by the CPSO.

EXAMPLES OF SERVICES NOT COVERED BY OHIP

Medical Services:​

  • Examinations/diagnostic tests necessary to satisfy requirements requested by employers, insurance companies, government agencies, etc.

  • Pre-adoption examinations

  • Prescription renewals without a visit

  • Travel medicine advice and services for traveling outside of Canada

  • Telephone advice if initiated by patient

Completion of Forms and Medical Records

  • Medical/legal reports

  • Federal government forms

  • Certificates for the purpose of travel, immigration, employment, etc.

  • Driver’s/aviation medical exam and other licensing forms/certificates

  • Insurance forms, reports and certificates, such as:

    • Disability certificate

    • Treatment plan

    • Insurance medical examination reports

  • Completion of work and school related forms/notes, such as:

    • Sick or back-to-work notes

    • Admission to day care/schools/ recreational

    • Employer requested reports/forms (e.g., form physicals)

Administrative services

  • Copying medical records, reports and letters at the patient’s request

  • Transfer or summary of medical records at the patient’s request

  • Missed appointments without sufficient notice

bottom of page