Call Office: (519) 600-2273

Located in Seaforth

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How we can help

Looking for a Doctor

If you are looking to register with a family Doctor please fill out our new patient form below.

Thank you. We’ve received your information and will contact you.

Unattached Care Clinic  &  Virtual Urgent Care

If you are looking for care in our area but do not have a family physician, select an option below for more details.

Third Party Billing - Non-OHIP Fees

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* 

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