Located in Seaforth
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Huron community Family Health Team is dedicated to providing a full range of health services and a variety of programs to patients throughout the year. Some programs are also available without being a patient of HcFHT. Our focus is on prevention of illness and chronic disease management.
If you are looking to register with a family Doctor please fill out our new patient form below.
FORM TYPE/ PROCEDURE
Our Fee
MTO Medical- Employment
$150
MTO Additional Form
$100
Disability Tax Credit Form
$150
Physician Note- Work Absence
$25
Physician Note- Return to Work
$25
Physician Note for Insurance (massage etc)
$25
Liquid Nitrogen or chemical treatment (canthrone) for non-plantar warts 1-5 lesions
$25
Liquid Nitrogen or chemical treatment (canthrone) for non-plantar warts 6-10 lesions
$50
Skin Tag Removal 5 lesions or less
$125
Skin Tag Removal 6-10 lesions
$200
FORM TYPE/ PROCEDURE
Our Fee
Cosmetic Mole Removal
$150
Short Term Disability Form
Hourly
Long Term Disability Form
Hourly
School/Employment Vaccination Form
Hourly
CPP Medical Report
Hourly
Insurance Attending Physician Statement
Hourly
Insurance Medical
Hourly
Insurance Chart Transfer
Hourly
Lawyer Attending Physician Statement
Hourly
Lawyer Chart Transfer
Hourly
Chart Transfer
PAPER
< 100 sheet – $30
100 - 200 sheets – $40
200+ sheets – $50
FORM TYPE/ PROCEDURE
Our Fee
Insurance Disability Certificate OCF-3
Hourly to max $262
Insurance Treatment Plan OCF-18
Hourly to max $200
Employment Medical
Hourly
Medical Certificate for EI Medical
Hourly
Medical Certificate for EI Compassionate
Hourly
Statement of Death for Insurance
Hourly
Travel Insurance Cancellation Form
Hourly
CAS Assessment for Foster Care
Hourly
FAF Form
Hourly
Hourly= $400 per hour divided into 15min quarters, based on OMA recommended rate for non-insured services.
* Except where indicated otherwise*