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Uninsured Services

What are "uninsured services"?

Uninsured 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.

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.  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 details please see the Ministry's website or contact your nearest Ministry office.


Item Fee
Back to work note / Sick note / Daycare note (free of communicable disease) $15
Physicals for schools, camps, pre-school, daycare, fitness clubs, university or other educational institution $35
Basic visit (no or invalid OHIP) weekdays $65
Basic visit (no or invalid OHIP) evenings or weekends/holidays $85
Pre-employment certification (with form) $80
Attending Physician’s Statement
  • With attached records
Insurance Medical Examination $250
Federal Disability Tax Credit $80
TB skin test $30 (1 step)
$50 (2 step)
CAS Form for Prospective Patient  $70
Driver’s Medical (including form) $125
Referral for orthotics/physiotherapy/massage/chiropractor (at request of patient) $20
Revenue Canada Disability Tax Credit $70
Jury Duty letter $25
Travel Cancellation $25
CPP Disability Medical Report Form $80
Short Term Disability $80
Long Term Disability $110+
Treatment Plan Form #03F-18 $150
Disability Certificate Form #03F-3 $150
Certificate of Health Practitioner Form #0CF-8 $50
Transfer of medical records
 40 for 1st 20 pages and $0.25/page thereafter
Courier charges
Administrative charges
Copies of reports (if >3 pages) $1/page