Synergy Centre London • Patient Services

By: Synergy Centre  09-12-2011

FEE SCHEDULE FOR NONINSURED MEDICAL SERVICES

(Services Not Covered By OHIP Or WSIB)

Assessments:

Drivers Medical Exam (physical+form) $130

Procedures:

Cryotherapy $10
(Other than Genital or Plantar)
Cosmetic Mole Removal $30

Forms:

Doctor's Note/Back to Work $15
Note for Massage Therapy/Orthotics/Physio $10
Life Insurance - Attending Physician Statement $150
Transfer Of Records (Photocopies) $50
Disability Tax Credit - Revenue Canada $35
Maternity Forms $20
Disability Certificate $120
Immunization Forms for School/Employment $20
Travel Insurance Cancellation Forms $30
CPP Application $100
CPP Disability $65
CPP Tribunal Hearings $400
Medical Report For Canadian Immigration $100
Death Certificate(for Insurance) $40
Car Insurance Forms $100
Motor Vehicle Accident No Fault Note $60

MISSED APPOINTMENTS WILL BE CHARGED AS FOLLOWS:
A cancellation fee will apply to those who fail to give 48hrs notice prior to their scheduled appointment.

REGULAR APPOINTMENT $35
PHYSICAL APPOINTMENT $70
PROCEDURE/PSYCHOTHERAPY $70

The information in this article was current at 06 Dec 2011


Contact Synergy Centre

Email - none provided

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