Private Services
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.
Services that ARE covered by our Annual Fee Program include:
| Prescription Refills | $25 |
| Telephone Advice – Physician | $30 |
| Telephone Advice – Nurse | $30 |
| Administration of injections for travel | $25 |
| Lost notes/prescriptions (replacement) | $15 |
| Notes/letters on behalf of patients | $25 |
| Immunization Record Replacement | $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 |
| Photocopying & Faxing | $25 |
| Travel Cancellation Insurance Form | $30-$50 |
| TB Skin Test (3rd party request) | $20 |
Services that are NOT covered by our Annual Fee Program include:
| Missed Appointment Sick or Follow-Up | $30 |
| Missed Physical Appointment | $60 |
| Missed Counselling Appointment | $60 |
| Insurance Forms Legal Reports | OMA Rates |
| Transfer of Medical Records | $35-$100 |
| Photocopying charts at patient’s request | Pages 1-5 $35, each additional page $0.50 |
ANNUAL BLOCK FEE
- Individual Child: $100
- Family: $175
Coverage is from June 1st – May 31st
Please submit payment by August 31st
New patients joining the practice will be offered a pro-rated fee for the first year.
Cheques should be made payable to your Pediatrician:
Dr. Sheila Jacobson
Dr. Michael Peer
Dr. Carolyn Taylor
Dr. Kate Amiel
If you have received an invoice from your Pediatrician or would like to pay the Annual Block Fee please click here.