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Block Fee Program

Why pay piecemeal for uninsured services?  

Enrol in our yearly Block Fee Program and have these charges covered.

NOTE:  Physician Block Fees are covered by most 3rd party insurance plans

What our Block Fee Covers

Prescription Renewals

Whether by phone, email or fax.  Whether requested by patient, caregiver or pharmacy.  Excludes narcotics and sedatives.  $30

Day Care Notes

For 'free of disease' or other medical notes.  $30

School or Camp Forms

For inclusion in school or camp program.  $65


Certificate of Competency

The completion of a document confirming the competence or lack of competence of a patient is not covered by OHIP.  $65

Certification of Fitness Forms

Completion of medical form certifying the medical ability to participate in an event or program.  $65

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Other Forms

The completion of insurance or other forms is billed based on complexity and the time for completion.  $65 to $300

Insurance Certificates

For massage, physiotherapy, chiropractic, chiropody, assisted devices and orthotics.  $30

Insurance Forms

Various medical forms, excluding medico-legal forms and those paid for or reimbursed by a third party.  $65 to $300

Telephone or Email Advice

At physician's discretion.  Per 5 minutes,  when you don't have an appointment.  Unlimited.  $30

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Referral without an appointment

Referrals are an insured service when they are made in relation to an assessment by your doctor.  $30

Photocopies & Faxes

Per 20 pages or less.  For personal use or at the request of a third party.  $25

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Proof of Life Form

Completion of a form or document confirming the patient is still alive.  $65

Sick & Back-to-Work Notes

A simple letter from your doctor for time away or return to work.  $30

Travel Cancellation Forms

As provided by airline or travel company to allow medical exclusion from a trip.  $65

Fitness Club Forms

For participation in or exclusion from a fitness program or gym.  $65

Transfer of Medical Records

When requested by a patient for the transfer of care to another physician $70

TB Skin Tests
per 'Step'

For the purpose of employment or volunteer work.  Each 'Step' includes injection of tuberculin and interpretation at 48-72 hours. $50

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Ear Wax Removal

For one or two ears either via flush or curette. $30

What our Block Fee DOES NOT Cover
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Missed Appointments

Missing appointments waste time for everyone.  Applies if cancellation <24 hours in advance.  Missed standard appointments: $95.  Missed long appointments: $176.


Driver's Medical Exam & Form

The completion of the extended license medical exam and form completion is not covered by the block fee.  $195

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CPP Medical Form

The charge above the $85 reimbursed by the government for completion of the medical report of the CPP application varies by its complexity and the time taken for completion. 

$85 to $200

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Excision of Benign Lesions

Per lesion, at discretion of physician.  $90 to $200


Tax Disability Form

Due to the complexity and time taken to complete this form, it is no longer covered under our block fee.  $150

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Liquid Nitrogen for Cosmesis

Per lesions for the application of Liquid Nitrogen for the cosmetic removal of spots, blemishes, tags and lesions.  $30

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