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Fees for Uninsured Medical Services

Not all of the services that your physician provides to you are insured through your provincial health card or your health plan. As a result, a fee may be charged at the time of your visit. Consult the uninsured services fees listed below or contact us at 613-564-3950 for more information.

Uninsured medical services are not covered by the Ontario Health Insurance Plan (OHIP) and may be charged directly to the patient (or third party) at the discretion of the physician. Third Party services are defined as any service (including a medical assessment) received by a patient which, in whole or in part, is necessary for the production or completion of a document or transmission of information to satisfy the requirements of a party other than the patient.

Electronic Invoices

The ByWard Family Health Team issues electronic invoices by e-mail for outstanding medical fees. If you receive an electronic invoice by e-mail, you may process your payment online through a PayPal account or in person at one of our clinic locations. Your electronic invoice will indicate the date of the original invoice as well as a description of the medical fee for which it was issued.

Prescription Renewals and Referrals

There is a fee of $20 for prescription renewals and referrals without a visit to the physician’s office, i.e. requests that are faxed, mailed or called in. Patients who have been granted BWFHT Financial Exemption, are exempt from paying this fee. Consult the Prescription Renewals or Referrals section below for more information.

Visit Fee for RAMQ Patients

Quebec (RAMQ) patients are required to pay a fee at each visit. For detailed information, see the RAMQ section below.


*The following is information regarding uninsured medical services including the associated costs not covered by OHIP. Please note that all fees are subject to change without notice.*

(Last update: July 19, 2021)

Visit Fees for Quebec Patients (RAMQ)

RAMQ patients registered to a primary care provider, are charged a $25 administrative fee at each visit. This is an out-of-pocket, non-refundable expense for health-care services provided by your primary care provider, at the walk in clinic, as well as by most specialists.

Non-registered RAMQ patients are required to pay a $35 fee for services provided at visits with most specialists.

For in person appointments, patients will be asked to pay the administrative fee and sign the Out of Province claim form at the time of their visit. For virtual appointments, patients will be required to pay the fee at the time of booking.

For additional information, please go to : https://bywardfht.ca/important_notices/update-payment-policy-for-ramq-patients .

Missed Appointment
Family Medicine Regular $40
Family Medicine (Specialized Service) $75
Periodic Health Visit $80
Immigration Examination $150
Travel Medicine Consultation $60
Sports Medicine – Initial Assessment $75
Sports Medicine – Follow Up $70
Sports Medicine (MVA, WSIB, concussion or back) $120
Physio – Initial Assessment $110
Physio – Follow Up $80
Massage Therapist $35-120
Mental Health Counselling $40
Psychiatry $150
Pediatric Psychiatry $150
Pediatrician – Consult $150
Pediatrician – Follow Up $60
Pediatrician (Primary Care) – Regular $65
Pediatrician (Primary Care) – Follow Up $35
Pediatric Neurology – Consult $150
Pediatric Neurology – Follow Up $60
Immunology/Allergy – Consult $150
Immunology/Allergy – Follow Up $60
Endocrinology – Consult $150
Endocrinology – Follow Up $60
Electromyography (EMG) – Consult $90
Obstetrics and Gynecology – Consult $100
Obstetrics and Gynecology – Follow Up $40
Rheumatology – Consult $150
Rheumatology – Follow Up $75
Neurology – Consult $150
Neurology – Follow Up $75
Internal Medicine – Consult $150
Internal Medicine – Follow Up $60

For third party requested forms or reports, an appropriate assessment fee may be charged in addition to the fee charged for completion of the form/report, when the assessment is not medically necessary.

Immunization Report for employment purposes $15
Medical Certificate (BWFHT) – Standard Form $20
Academic Accommodations Medical Certificate $40
Student Clinical Pre-Placement Form $40
Occupational Health Report (Health Canada) $40
Documentation/forms for physicals for schools, camps, pre-school, daycare, university/educational institutions $40
Medical certificate for employment insurance compassionate care benefits $55
Canada Pension Plan (CPP) Disability Medical Report Form $85
Attending Physician Statement (no exam required) $145
Other forms Variable
Prescription Renewal & Referrals
Book an appointment to see your provider to request a prescription renewal or referral No fees
Pharmacy faxes (613-564-6627) your prescription renewal request to your provider $20
Request for a referral for massage therapy, physiotherapy, etc. without a visit to your provider $20
Vaccines and Injections
Hepatitis A (Havrix 1440/Avaxim) $60
Hepatitis A Junior (Havrix 720/Avaxim Pediatric) $40
Hepatitis B (Engerix B/Recombivax) N/A
Hepatitis B Junior (Engerix B junior/Recombivax Pediatric) N/A
Menjugate N/A
Menactra/Menveo N/A
Twinrix Adult $80
Twinrix Pediatric $40
Vivotif (Oral Typhoid) $40
Vivaxim (Hep A-Typhoid) $100
Zostavax $205
Varilrix/Varivax $95
Rotarix/Rotateq $105
Bexsero $160
Gardasil 9 $210
Prevnar 13 $140
Boostrix $50 (QC residents only)
Influenza $25
FluMist $25
Durolane Variable
Suplasyn (includes $35 injection fee) $285
Cingal $425
Depomedrol $20
Kenalog (40 mg/ml) $30
Shingrix $160
Rabavert $235
Physio Initial Assessment $110
Physio Follow Up $80


Massage Therapy
Massage Services (30 min) $70 + HST
Massage Services (45 min) $85 + HST
Massage Services (60 min) $105 + HST
Massage Services (90 min) $135 + HST
Travel Medicine
Travel Visit – 1st patient $60
Travel Visit – applicable for group visit fee for each additional patient going to the same destination $50
Tuberculosis Test for travel (Includes injection, follow-up with Nurse, result card) $45
Dukoral $60
Rabies $230
Japanese Encephalitis $245
Yellow Fever $175
Hepatitis A (Havrix 1440/Avaxim) $57.50
Hepatitis A junior (Havrix 720/Avaxim Pediatric) $37.50
Hepatitis B (Engerix B/Recombivax) $50
Hepatitis B junior (Engerix B Junior/Recombivax Pediatric) $30
Menactra/Menveo $125
Typhoid $35
Twinrix Adult $77.50
Twinrix Pediatric $37.50
Vivotif (Oral Typhoid) $40
Vivaxim (Hep A-Typhoid) $100
Boostrix (Quebec residents only) $40
Vaqta $65
Ben’s Insect Repellent 120 ml Pump Spray 30% DEET $8.95
Ungava Cream Insect Repellent 120 ml, 30% DEET – Unscented $9.95
Ungava Cream Insect Repellent 60 ml, 30% DEET – Unscented $6.95
Natrapel Lemon Eucalyptus Insect Repellent Pump Spray 74 ml $9.95
Piactive Insect Repellent 175 ml Pump Spray 20% Icaridin $12.95
Piactive Insect Repellent Kids 175 ml Pump Spray 20% Icaridin $12.95
Piactive Insect Repellent 100ml (Travel Size) $9.95
Piactive Insect Repellent 40ml (Wallet Size) $7.95
Knock Down Bed-Bug Spray 75 grams $9.95
Bed Bug Detective (4 pack) $7.95
Lifesystems Tick Remover $8.95
Aeroxon Tick Remover $4.95
Pristine Water Bottle w/ Microbio & 50 purification tabs $35.95
Deltamethrin impregnated bed nets $56.44
Travel Vaccination Record replacement $5
IAMAT Guide to Healthy Travel $15
Element-proof bag with lanyard for smartphone (aLOKSAK) $9.95
Element-proof storage bags (aLOKSAK) $15.95
GoToob Medium Travel Bottles (3 pk) $24.95
P-EZ Female Travel Urinal (1 unit) $12.95
Minor Surgical Procedure Skin Tag 1-3: $80
4-10: $125
>10: $200+
Milia $50-$100
Ear Cleaning (not covered by your provincial plan) $25
Pap test (not covered by your provincial plan) *Does not include lab fees which will be billed directly to the patient by Dynacare. $50
Intralesional Kenalog Acne Cysts 1-3: $30
>4: $60
Keloids 1-3: $30
>4: $60
Cryotherapy/Hyfrecator Benign lesions (seborrheic keratosis, skin tags, spider angioma) 1: $80
2-4: $100
5-9: $200
>10: $250
Warts (other than feet & genitals) $40 per wart
Surgical Excision Nevi (without suture) Face: $200
Body: $100
Nevi (with suture) Face: $250
Body: $150
Cysts (size and location dependent) 1: $300-400
Subsequent cysts: $200
Elastic bandages $10
Theraband Strip $5
Mona Lisa 5 IUD $60
Mona Lisa 10 IUD $75
Pregnancy Test (not covered by your provincial plan) $15
Splint (finger) $10
Needles (acupuncture, ART) $10
Respicare Tube Inhalation $12
Rental of ABPM Device (24-hour blood pressure) $75
Rapid Strep Test $5.50 (QC Residents only)
Dressing Change Supplies $5
Washable & reusable face mask $12
Adjustable Nylon Strap for Face Mask $4
Face mask/Strap combo $15
Immigration Canada Physical (exam and report)
0  to 10 years $250
11 to 59 years $280
Over 60 years $300
Copy and Transfer of Chart
Digital copy of chart $15
Copies of several reports or a portion of a chart reviewed by a physician Hourly rate
Third Party Assessment

For third party requested forms or reports, an appropriate assessment fee may be charged in addition to the fee charged for completion of the form/report, when the assessment is not medically necessary.

Intermediate Assessment 75 $
General Assessment 175 $
Medical Specific Assessment Fees vary
Insurance Medical examination (assessment and report) 240 $
No or Expired Health Card Visit Fee
Regular Appointment $75.00
All other appointment types $100.00

For virtual (telephone or video) appointments, patients will be required to pay the service fee at the time of booking.
If an in person visit is required, patients will be charged when registering for their appointment.
Depending on the reason for the visit, the invoice may be adjusted and patients will be required to pay the difference after the visit.

OHIP Patients: Once you have renewed your health card, you can request a reimbursement for the fee by contacting our clinic and providing proof of valid coverage. *Please note that a $15 processing fee will apply and it may take up to 8 weeks from the date of the request to issue the refund.

Patients from another province (or with private insurance): You can make a request for reimbursement directly with your provincial insurer or insurance carrier.

Should you present at the clinic on the same day of service, with your valid health card, invoice and receipt, an immediate refund will be issued. Patients must present at same clinic location.

Tuberculosis (TB) Testing

Non-Mandated TB Testing (e.g. volunteer, employment etc.)

Tuberculosis Skin Test (step 1) $45
                                           (step 2) if required $45

*Does not include documentation fee

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