Fees for Third Party Uninsured Services

The following list of services and corresponding fees are not covered by most insurance policies (including OHIP and UHIP):

Service Fee
Form of any type $15/page
Doctor's letter or note $15/page
Letter for Academic Consideration $27
Athletic CPX (Complete Physical exam) for U of G Varsity Team $70
Third Party Requested CPX and Form (e.g. Drivers/School/Employment) $100
Third Party CPX - no form $70
Third Party - Minor Assessment $30
Third Party - Intermediate Assessment $50
Third Party - Individual Care - Mental Health (0.5 hr) $85
Cost of Replacement Requisition for chiro/physio/massage $11
Cosmetic Warts - per-treatment $30
TB skin test - per step $30
Mole - cosmetic removal $53
   
Missed Appointment Fees - Policy  
Charge will vary depending on the time scheduled for the missed 
appointment as follows.
 
10 minute appointment $20
15 minute appointment $30

For any other appointment length, the charge will be determined
based on $10.00 for each additional 5 minutes.

 
Psychiatrist appointment $195
   
New: Vaccinations (not covered by OHIP)  
GARDASIL 9 - HPV Vaccine (will increase to $200 effective September 1, 2024) $190
Bexaro - Meningitis B Vaccine $125
Rabies - Vaccine ID $80
Rabies - Vaccine IM $200
Mona Lisa IUD - Intrauterine Device $75