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Uninsured appointment fees 

Short appointment- $40.00 

Intermediate Appointment -$60.00 

Long Appointment- $80.00 

Psychiatrist $100.00-$450.00 

Missed appointment 

Short appointments: $30.00Ìý
Intermediate appointments: $50.00 
Long appointments: $70.00 
Counselling appointments: $35.00 
Psychiatrist appointments: $100.00 - $450.00 

Prescription renewal (without appointment) 

$22.00Ìý

Transfer of medical records 

$30.00 plus expenses (plus $0.25 per record after 20 records) 

Travel advice (not including immunizations) for students and dependents 

Individual: $60.00 - $100.00 – to be determined at time of appointment 
Couple: $90.00 - $150.00 – to be determined at time of appointment 
Family: $50.00/person - family of 3 or more 

Travel cancellation form 

$75.00Ìý

Removal of skin lesions or uninsured warts (not medically necessary) 

Minimum of $35.00 per treatment 

Mantoux Skin Test (TB) 
Note: The MOHLTC will cover the cost of TB skin testing when this is 
required for educational purposes (UW Optometry & Pharmacy, 
McMaster Medical students). Students are required to pay when needed for volunteering or employment. 

First test: $35.00 
Second test: $15.00 

Accessibility forms (Increase cost dependent on length and complexity of form) 

Minimum of $60.00 - $125.00 
(ADHD, Brain Injury or MH – No 
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Attending Physicians Statement 

$175.00Ìý

Certificate of Health 

No exam required, minimum $30.00Ìý
Exam required, minimum $80.00 

Disability Tax Credit form 

$60.00 - $100.00 

Federal Tax Credit form 

Minimum $35.00 

Functional Limitation form 

Minimum $60.00 

Housing Disability Verification form 

Minimum $60.00 

Graduate & undergraduate student medical leave form

Ministry of Transport physical exam and completion of form 

Minimum $150.00 

Miscellaneous Documents 

$30.00 - $150.00 

OSAP Forms 

Minimum $60.00 

Petition letters 

Minimum $35.00 

Pre-employment physical and form completion (paid for by third- 
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Minimum of $100.00 – paid by the patient 
Minimum of $160.00 – paid by third-party 

Reduced Course Load Verification form 

$30.00Ìý

Service Animal Disability Verification form 

Minimum $60.00 

Varsity Sports Physical 

$105.00Ìý

Verification of illness form 

$20.00