Fee Guide
Welcome to The Station Clinic
Now partnering with Healtheon to provide even better service for you and your family.
Uninsured services COVERED by the Basic Plan
General Uninsured Services
| Service | Price | Checkout |
|---|---|---|
| Prescription Renewals by phone/fax/online (when appropriate and only at the request of the patient) | $25.00 | |
| Transfer of Medical Records (each page after 5 will be $1.50) | First 1-5 pages $35.00 | |
| Letters on behalf of patients (depending on time and work involved) | $25 – $200 | |
| Wart Treatment | $30.00/treatment | |
| Lost Prescriptions, Notes, Referrals | $20.00 | |
| TB Skin Test(3rd Party Request) | $50.00 | |
| TB Test Reading | $20.00 | |
| Medical Examination for Return to Work requested by Employer | $75.00 | |
| Third Party Physical Exam | $100.00 | |
| Photocopying | $30.00 first 20pg, $0.25/pg after | |
| Medical Supplies, Dressings, etc. | $25.00 |
Medical Report/Forms
| Service | Price | Checkout |
|---|---|---|
| Citizenship and Immigration Report | $40.00 | |
| Commercial weight loss program | $25.00 | |
| Illness and Return to Work Notes | $35.00 | |
| Employment Insurance / Maternity Certificate | $20.00 | |
| Fitness Club Forms | $25.00 | |
| Private Insurance Forms | $30 – $200 | |
| Pre-employment Certificate of Fitness | $25.00 | |
| Jury Duty Letter | $15.00 | |
| Certificate of Medical Status | $25 – $35 | |
| Massage Therapy and Orthotics | $25.00 | |
| Revenue Canada Disability Form | $75.00 | |
| Day Care Notes | $20.00 | |
| School / Camp Forms(Excluding Examinations) | $35.00 | |
| School / Camp Physical Examinations | $60.00 | |
| Travel Cancellation Forms | $25.00 | |
| Auto Accident Insurance Forms (when not covered by insurance) | $108 | |
| Disability Tax Credit Certificate | $50.00 | |
| Referral Note for Chiropractor, Physiotherapy, etc. | $20.00 | |
| Children’s Aid Society Forms | $45.00 | |
| Replacement of Immunization Certificate | $15.00 | |
| Forms required for Volunteer Work | $35.00 |
The following uninsured services are NOT COVERED by the Basic Plan
Available as per standard Provincial guidelines
| Service | Price | Checkout |
|---|---|---|
| No show/late cancellation | $35.00 | |
| Missed Annual Physical Examination | $60.00 | |
| Attending Physician Statement | $160.00 | |
| Driver’s Medical Form (MOT) (non-subscriber, $150.00) | Basic plan subscriber $75.00 | |
| Insurance/Disability Forms | $30.00 | |
| Legal reports | SMA rate |