Our Clinic

Manotic Medical Centre Reception Area

The Manotick Family Health Organization is committed to promoting, maintaining and enhancing the quality of life and health of our patients.We are a Family Health Organization (FHO).  The FHO model represents the alignment of Primary Care Networks and Health Service Organizations into one model.  FOHs are groups of physicians who provide comprehensive primary health care services to their patients with a focus on illness prevention.  FHOs provide care during regular and extended office hours and patients have access to a nurse staffed Telephone Health Advisory Service.

For patients who have a valid Ontario Health Card, the Ontario Health Insurance Plan (OHIP) covers patients for medically necessary services in clinics, hospitals, etc.  There are however some services that are NOT paid for by OHIP.   These services are called uninsured services. As a result, the physician can request payment for these services. When a patient requests one of these services, payment is required at the visit when the service is provided. Below you will find a summary of our uninsured service rates. It should be noted these are subject to change without prior notice. Should you have any questions or concerns, please feel free to let us know. Also, please notify the doctor if paying these fees poses any financial difficulties.

 UNINSURED SERVICE RATES (updated Oct 25, 2022)  
INVALID OHIP & MISSED APPOINTMENTS(Without 24 hours’ notice provided or for invalid OHIP) CHARGE
Minor Assessment Appointment $  45.00
Regular Assessment Appointment $  60.00
Physical Appointment/Driver’s Medical $ 100.00
WORK/SCHOOL LETTER CHARGE
Sick Leave Letters (return to work/school)/Certificate of Freedom from Communicable Disease $  22.00
Fitness To Work Notes (beyond a brief note)/ Fitness to return to Work/Modified Work Form Independent Consideration
Pre-Employment/Hospital/Nursing Home Employees $  42.00
School Camp, Admission to day-care, preschool, university (out of province/country) $  32.00
   
EMPLOYMENT/INSURANCE FORMS CHARGE
EI Caregiver/Compassion Care Benefits – Medical Certificate $  62.00
EI Sickness Benefits –  Medical Certificate $  44.00
   
OTHER FORMS/CERTIFICATES CHARGE
Children’s Aid Society application for prospective parents $  65.00
Travel Cancellation Forms $  43.00
Nursing Home Placement/Application Independent Consideration
   
LICENSING EXAMS/FORMS CHARGE
Civil Aviation Medical Exam & Report Independent Consideration
License Medical – Driver, Firefighter, etc. (Form completion ONLY) $    65.00
License Medical Exam & Form completion – Driver, Firefighter, etc. or a Physical Exam/ Ministry of Transportation (MOT) Patient Ability to Operate Motor Vehicle – Exam + Form $  200.00
   
LIFE & HEALTH INSURANCE FORMS CHARGE
Referral Notes: (Physio, Massage, Orthotics, etc.) $   22.00
Attending Physician’s Statement $ 160.00
Clarification Report/Narrative Report Physician’s Hourly Rate
CPP Disability Benefit Up to $  85.00
CPP Narrative Report Up to $ 150.00
Disability Tax Credit Certificate (Form T2201 – CRA) $   83.00
Insurance Medical Examination & Report $  260.00
Life Insurance Death Certificate $    54.00
OCF-18 (Auto Insurance) Treatment Plan $  160.00
OCF-19 (Auto Insurance) Determination of Catastrophic Impairment $  132.00
OCF-23 (Auto Insurance) Treatment Confirmation $  159.00
OCF-3   (Auto Insurance) Disability Certificate $  160.00
Pension Buy Back Form $  200.00
System-Specific or Disease Specific Questionnaire $  107.00
PROCEDURES CHARGE
Basic Travel Advice Appointment for Adults and 1st Injection (drugs/serum excluded) $  100.00
Basic Travel Advice Appointment for EACH Additional Family Member & 1st  Injection $    20.00 (child only)
EAR SYRINGING (not meeting OHIP coverage guidelines) $    25.00
IMMUNIZATION INJECTION FEE needed for Travel without an appointment i.e. TWINRIX, DUKORAL, ZOSTAVAX (serum excluded from fee) $    17.50
LIQUID NITROGEN not covered by OHIP (Removal or treatment of warts is insured by OHIP ONLY for plantar warts, genital warts and all warts in immunocompromised patients) $   20.00 (per treatment)
PAPs MORE FREQUENTLY than every 36 months or under 21, older than 70 (unless otherwise required medically as determined by MD) $   75.00
TB SKIN TEST needed for VOLUNTEER OR EMPLOYMENT

(includes form completion/documentation) TUBERSOL Provided by Government can’t be used – RX is to be issued by MD & PAID BY Patient

$   45.00 (One Step)

$   65.00 (Two Step)

CHART TRANSFERS CHARGE
Medical Records 1st Family member  (includes USB cost)

Family Transfer

$  55.00 (Flat Rate)

$  80.00 (Flat Rate)

PLUS Admin Costs/Courier if applicable (clerical time, print volume, toner, paper, access fee costs, long distance calls/fax charges, etc.)  

Actual Cost

PLUS – Physician Review of Records (where applicable) Physicians’ Hourly Rate
OTHER CHARGE
Prescription Renewals $   22.00
Photocopies/Lab Results/Reports (per report) $   10.00
EpiPen (patient will be charge to refill RX) $ 106.00
EXEMPTIONS (NOT PERMITTED TO BE CHARGE FOR COMPLETION) Section 24, Regulation 552 of the Health Insurance Act: Application for Accessible Parking Permit; Transit Forms for the Disabled; Permanent Resident Card Forms; Request for Birth Certificate Forms; Children`s Aid Society Form (on behalf of child); Canadian Passport Application; Ministry of Health and Long-Term Care Forms (i.e. Limited Use, Assistive Devices, etc.) NO CHARGE

 PAYMENT: WE ACCEPT CREDIT (MC OR VISA ONLY), DEBIT & CHEQUES.

The above noted charges are subject to change without prior notice.

 

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