Uninsured Services Fees

Our clinic is in compliance with the AMA guidelines to billing Uninsured Services.  

Fees listed below are the patient’s responsibility.  They are not covered by Alberta Health Care or Blue Cross benefits.  

Your physician or an assistant will discuss any fee with you before providing an uninsured service. 

 Payment is expected when you receive the service.  We accept cash, cheques, debit or credit cards. 

MEDICALS:

• Driver's Medical (Class 1-4) $ 150

• Driver's Medical (Class 5 or 6) $ 75

• ECG $ 25

• Life Insurance $ 100 & up

• Life Insurance with ECG $ 125

• Capacity Assessment Reports $ 200

• Non-resident of Canada Doctor Visit $ 120

• Pilot's Medical $ 150

• Pilot's (with Driver's Medical OR ECG) $ 175

• Pilot's (with Driver's Medical & ECG) $ 200

• Pre-admission Medical Assessment (fitness to work forms) $ 100

 REPORTS AND FORMS:

• Completion of forms (minimum fee) $ 55

• Copy of Chart (minimum fee) $ 25

• Handicap Placard $ 40

• Senior Resident $ 30

• AISH Form $ 65

• Blue Cross Special Authorization $35

• Doctor's Note $35

• Disability Tax Credit $ 100

• Employment Insurance Form $ 55

OTHER:

• Infant Circumcision $350

• Adult Circumcision  $750

• No Show Fee (after 2 no shows) $ 40

• No Show Physical $ 80