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Michelle Greiver, M.D., C.C.F.P.Akiko Hosokawa, M.D., C.C.F.P., Kenneth M. Jaskolka, B.Sc., M.D., Shaul Tarek M.D. CCFP
Family Physicians
240 Duncan Mill road, suite 705
Toronto, Ontario M3B 3S6
Phone (416) 222-3011
Fax (416) 221-3097
Email   drgreiveroffice@rogers.com
http://drgreiver.com

 

Uninsured Services

UNINSURED SERVICES FEE GUIDE**
July 1, 2015 – June 30, 2016

The Following Uninsured Services ARE Covered by the Annual Plan:


Prescription Renewals by phone or fax (emergency, short-term renewals at physician discretion only)*

$25

Completion of Physical Fitness Forms for school, camp, fitness clubs

$25-$50

Non-Office Consultation initiated by patient (emergency situations only at physician discretion, up to 10 minutes)

From $30

Completion of Forms for Weight Loss Company

$25

Visit for Travel-related advice

$35

Completion of Hospital / Nursing Home employees /volunteers forms

$40-$80

Travel-related fee for administering immunization (e.g. Hep A or B)

$15 per shot

Completion of Other Forms at physician discretion (e.g. massage or physical therapy for insurance purposes)

$20-$50

Tb Skin Test (pre-employment) including letter

$50

Completion of Driver’s Medical Examination Form

$75

Completion of Back to Work or Sick Notes (max 3 per year)

$20

Completion of Complex Notes required by employer (e.g. TTC)

$20-$75

Completion of CRA Disability Tax Credit Form

$43.30

Completion of Travel Cancellation Insurance Form

$20-$75

Completion of Private Insurance Illness / Disability Form

$100-$200

Completion of Letter on Behalf of Patient at physician discretion

Simple $20
Complex $100-$200

Lost Notes / Prescriptions / Letters / Forms

$15

Completion of Other Notes (e.g. school/camp/daycare/jury duty/fitness club) at physician discretion

$20-$150 depending complexity

Cryotherapy for wart removal (not plantar), max 3 visits per year (amount per lesion)
1-3 lesions:
4 or more:

$50/lesion
$30/lesion

 

 


The following Uninsured Services are NOT covered by the Annual Plan:


Missed Appointment without 24 hour prior notice
General Visit
Physical or Counselling

$35
$100

Legal Reports

OMA Rate

Extensive Disability Report / Insurance Form

OMA Rate

Transfer of Individual Records

$100 depend on complexity

Physical Examinations required by third party (e.g. driver’s examination)

OMA Rate

 

 


 

 

 

 

 

*Prescription renewals ordinarily require an office visit to reassess the condition requiring the prescription. If you are unable to schedule an appointment to review your medications, we will charge for this service. Please anticipate your renewals, ask for renewals at each visit, and bring your medications to appointments.

**Compliance with requests and completion of all notes/forms etc. at physician discretion and may be subject to maximum

For more information, please refer to the CPSO Block Fees and Uninsured Services Policy at www.cpso.on.ca under Policies