The Ontario Health Insurance Plan (OHIP) pays for most of your children’s medical visits at this office. However, many services are not insured by OHIP. Because these services require significant time and resources to administer, payment for them is the responsibility of the patient. Our Annual Fee Program offers families the choice of paying a block fee to cover those everyday services that are not covered by OHIP, or paying individual fees for each service when rendered.
Prescription Refills $25
Administration of injections for travel $25
Lost notes/prescriptions (replacement) $15
Notes/letters on behalf of patients $25
Sick note/back to school/daycare $20
Note for orthotics/massage/chiropody/physiotherapy $25
Federal Disability Tax Credit and related forms $35
Day Care/ School notes for medication $20
School/Camp forms $25 – $50
Photocopying & Faxing $25
Travel Cancellation Insurance Form $30-$50
TB Skin Test (3rd party request) $20
Missed Appointment Sick or Follow-Up $30
Missed Physical Appointment $60
Missed Counselling Appointment $60
Missed Specialist Appointment $100
Transfer of Medical Records $35-$150
Photocopying charts at patient’s request Pages 1-5 $35,
(each additional page $0.50)
Insurance Forms Legal Reports OMA Rates
Annual Block Fees:
Individual Child: $100
Family: $175
Coverage commences from the date of payment. Cheques should be made payable to your Pediatrician:
- Dr. Sheila Jacobson
- Dr. Michael Peer
- Dr. Carolyn Taylor
- Dr. Kate Amiel
- Dr. Sharon Naymark
If you have received an invoice from your Pediatrician or would like to pay the Annual Block Fee you may e-transfer the payment (be sure to include the patients name and date of birth in the e-transfer message so we can apply the payment to the correct account) to clairhurstpayment@gmail.com or please contact the office to pay by credit card.
