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Uninsured Services

Introduction

As with any medical practice, some common services are not covered by the Ontario Health Insurance Plan (OHIP) or your health card. Dr. Barnes offers annual plans to help manage these costs. Please see below for details.

Annual Plan Options

Online Requests

$75.00/Year

Plus HST

Send requests online via Ocean software (for appointments, prescription refills, etc).

Select Plan
Partial Plan

$150.00/Year

Plus HST

Covers many common services

$150.00/year for individuals

$75.00/year for each additional family member

Select Plan
Full Plan

$225.00/Year

Plus HST

Comprehensive coverage

$225.00/year for individuals

$100.00/year for each additional family member

Select Plan

Comprehensive Services

Common Services

  • Online Requests

Send in requests online through the Online Request Portal.

  • Fee: $75.00/year
  • Coverage:
  • Partial Plan
  • Full Plan
  • Chat/Text Appointments
  • Fee: $60.00 each
  • Coverage:
  • Partial Plan: 50% off
  • Full Plan: 50% off
  • Prescription Refills
For requests without an appointment.
  • Fee: $20.00 /each
  • Coverage:
  • Partial Plan
  • Full Plan
  • Insurance Benefits Medical Certificates
Referrals for massage therapy, physiotherapy, chiropractor, etc.
  • Fee: $40.00 each
  • Coverage:
  • Partial Plan
  • Full Plan
  • Sick notes, back to work notes
Physician’s note confirming period of illness or certification of health for work.
  • Fee: $30.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • Missed Appointment
Due within 60 days of incurred cost. See the “Patient Policies and Procedure” document for more information.
  • Fee: $50.00
  • Coverage:
  • Partial Plan: 50% off
  • Full Plan: 50% off
  • Replacing lost prescriptions & requisitions
Due within 60 days of incurred cost. See the “Patient Policies and Procedure” document for more information.
  • Fee: $20.00 /each
  • Coverage:
  • Partial Plan: 2/year
  • Full Plan: 2/year
  • Cosmetic Procedure Evaluation
Evaluation and planning prior to a skin lesion removal or skin tag removal appointment.
  • Fee: $40.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • Cosmetic Product Consultation
Appointment for discussing prescription products for cosmetic purposes (eg. Latisse, retinoid creams, etc).
  • Fee: $60.00
  • Coverage:
  • Partial Plan: 50% off
  • Full Plan: 50% off
  • Cosmetic Skin Tag Removal
  • Fee: $20.00 + $5.00 per tag
  • Coverage:
  • Partial Plan: 50% off
  • Full Plan: 50% off
  • Cosmetic Skin Lesion Removals
  • Fee: $50.00 + $10.00 per lesion
  • Coverage:
  • Partial Plan: 50% off
  • Full Plan: 50% off
  • Ear Flushing
When not medically indicated.
  • Fee: $50.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • Tuberculin Skin Test
  • Fee: $33.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • Non-OHIP Covered Immunization
  • Fee: $33.00 /each
  • Coverage:
  • Partial Plan
  • Full Plan
  • Copy of Immunization Records
  • Fee: $50.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • Repeat Specialist Referral
  • Fee: $50.00 each
  • Coverage:
  • Partial Plan: 1/year
  • Full Plan: 1/year
HST may apply - please inquire for more information
Uninsured Services Price List

Notes, Forms and Certificates

  • Insurance Benefits Medical Certificates

Referrals for massage therapy, physiotherapy, chiropractor, etc

  • Fee: $40.00 each
  • Coverage:
  • Partial Plan
  • Full Plan
  • Sick notes, back to work notes

Physician’s note confirming period of illness or certification of health for work.

  • Fee: $30.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • Special Authorization for drug coverage form

Eg. non-ODB, private insurance, etc

  • Fee: $90.00 each
  • Coverage:
  • Partial Plan
  • Full Plan
  • Travel Cancellation Insurance Note or Form
  • Fee: $150.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • Life Insurance Death Certificate
  • Fee: Hourly Rate*
  • Coverage:
  • Partial Plan
  • Full Plan
  • Retirement Home Admission Form
Due within 60 days of incurred cost. See the “Patient Policies and Procedure” document for more information.
  • Fee: $150.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • Compassionate Care Insurance Benefits Medical Certificate
  • Fee: $67.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • Certification of Incompetence (financial) including assessment
  • Fee: Hourly Rate
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • Guarantor documents
  • Fee: $80.00 each
  • Coverage:
  • Partial Plan
  • Full Plan
HST may apply - please inquire for more information
Uninsured Services Price List

Medical Examinations and Assessments

  • Kid’s School or Camp Health Assessment

History & physical exam with completion of required documentation when required by a school or camp.

  • Fee: $100.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • Adult Admission Health Assessment

History & physical exam with completion of required documentation when required by a school or camp.

  • Fee: $140.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • Employment Fitness Assessment

History & physical exam with completion of required documentation for employment.

  • Fee: $200.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • Driver’s Medical Examination and Report

Driver’s physical exam and documentation.

  • Fee: $160.00
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • Driver’s Medical Follow-Up
  • Fee: $120.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • Civil Aviation Medical Exam
  • Fee: 25% off Hourly Rate*
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • Civil Aviation Medical Report
  • Fee: $200.00
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • Children’s Aid Society pre-adoption evaluation and documentation
  • Fee: $230.00
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • Medical Exam for Insurance Purposes
  • Fee: Hourly Rate*
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • Independent Medical Exam & Report
  • Fee: Hourly Rate*
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • EI Disability or Maternity Certificate
  • Fee: $80.00
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
HST may apply - please inquire for more information
Uninsured Services Price List

Government, Insurance and Legal Forms

  • OCF-3 Disability Certificate Form
  • Fee: $240.00
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • OCF -18 Treatment Plan Form
  • Fee: $255.00
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • OCF-19 Determination of Catastrophic Impairment Form
  • Fee: $141.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • OCF-23 Treatment Confirmation Form
  • Fee: $240.00
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • Disability Tax Credit Application
  • Fee: $100.00
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • Attending Physician’s Statement
  • Fee: Hourly Rate*
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • System-Specific or Disease Specific Questionnaire
  • Fee: $114.00
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • System-Specific Examination for Insurance Purposes
  • Fee: $138.00
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • Clarification Report
  • Fee: Hourly Rate*
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • Narrative Report
  • Fee: Hourly Rate*
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
HST may apply - please inquire for more information
Uninsured Services Price List

CPP Related Forms

  • CPP Disability Benefit Report ISP2519 or ISP 2530B
  • Fee: Service Canada Coverage + $110.00
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • CPP Narrative Report
  • Fee: Service Canada Coverage + $250.00
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • CPP Disability Reassessment Medical Report ISP2509 or Recurrence Report ISP2525
  • Fee: Service Canada Coverage + $80.00
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • CPP Scannable Impairment Evaluation (IMPAIR)
  • Fee: Service Canada Coverage + $50.00
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
HST may apply - please inquire for more information
Uninsured Services Price List

Diagnosis, Counseling, and Treatment

  • Prescription renewal without a visit
  • Fee: $20.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • Travel Medicine Advice
  • Fee: $115.00
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • Ear Flushing

When not medically indicated.

  • Fee: $50.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • Cosmetic Procedure Evaluation

Evaluation and planning prior to a skin lesion removal or skin tag removal appointment.

  • Fee: $40.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • Cosmetic Product Consultation

Appointment for discussing prescription products for cosmetic purposes (eg. Latisse, retinoid creams, etc).

  • Fee: $60.00
  • Coverage:
  • Partial Plan: 50% off
  • Full Plan: 50% off
  • Cosmetic Skin Tag Removal
  • Fee: $20.00 + $5.00 per tag
  • Coverage:
  • Partial Plan: 50% off
  • Full Plan: 50% off
  • Cosmetic Skin Lesion Removals
  • Fee: $50.00 + $10.00 per lesion
  • Coverage:
  • Partial Plan: 50% off
  • Full Plan: 50% off
  • Tuberculin Skin Test
  • Fee: $33.00
  • Coverage:
  • Partial Plan
  • Full Plan
  • Prescription Refills

For requests without an appointment.

  • Fee: $20.00 each
  • Coverage:
  • Partial Plan
  • Full Plan
  • Replacing lost prescriptions & requisitions
  • Fee: $20.00 each
  • Coverage:
  • Partial Plan: 2/year
  • Full Plan: 2/year
HST may apply - please inquire for more information
Uninsured Services Price List

Administrative

  • Copying of Medical Records (first 20 pages)
  • Fee: $30.00 each
  • Coverage:
  • Partial Plan
  • Full Plan
  • Copying of Medical Records (each additional page)
  • Fee: 0.25 / page
  • Coverage:
  • Partial Plan
  • Full Plan: 50% off
  • Transfer of Medical Records
  • Fee: Copying Cost + 50%
  • Coverage:
  • Partial Plan
  • Full Plan: 1/year
  • Repeat Specialist Referral
  • Fee: $50
  • Coverage:
  • Partial Plan: 1/year
  • Full Plan: 1/year
HST may apply - please inquire for more information
Uninsured Services Price List

Other Services

  • Patient Interview for Practice Admission

When initiated by the patient

  • Fee: $240.00 each
  • Dispensing Service Fee
  • Fee: $18.75
HST may apply - please inquire for more information
Uninsured Services Policy List

Have questions or need more information?

Send Inquiry

If you would like more information about these services, please fill the form below.

Please note we only accept e-transfer at this time.

Online Request Portal
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Patient Agreement
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Online submissions are a feature of our annual plans. If you're interested in accessing this service and haven't purchased an annual plan, please email [email protected] for more information.

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