Uninsured Services
ExecHealth

Missed or Cancelled Appointments

• Missed Appointment
• Late Cancel within 24 hours notice

$100.00

$100.00

Office Visit

• Canada resident with no valid health card
• Out of country resident

$100.00

$225.00

Health Professional Medical Advice Access

• Email Advice (nurse Dring business hours)
• Telephone Advice (nurse during business hours)

$60.00

$60.00

Mayo Clinic Second Opinion and Medical Fees

• Mayo Clinic Second Opinion

$1500.00+

Medical concierge services to expedite appointments

through private channels and internationally

• ExecHealth Coordination fee

$2000.00

Prescriptions

• Prescription refills by phone or fax (Emergency short term refills at physicians discrection only)
• Lost prescriptions

$50.00

$25.00

Transfer of Individual Records

• First record (1-20 pages)
• Additional records/page
• Lab results photocopy

$30.00

$0.25

$2.00

Tests

• TB skin test (third party request)
• 1 step
• 2 step

$30.00

$80.00

$160.00

Supplies

• Non-insured medical supplies

$10.00+

Note

• School/College/University sick note
• Illness/return to work notes (simple) (not including forms provided by employer)
• Lost Notes

$26.20

$18.00

$25.00

Forms

• Nursing homes/hospital volunteer forms
• Commercial weight loss programs
• Private respite care form (with examination)
• Fitness club forms
• Attending physician's statements (may include examination)
• Immunization card replacement
• Driver's Medical Form
• Day Care Application Form (with examination)
• Pre-Operative Forms
• School/Camp form

$35.00

$30.00

$65.00

$35.00

$134.00+

$25.00

$53.70

$26.20

$117.85

$26.20

Federal & Insurance Forms

• Federal Tax Credit and related forms
• CPP Disability form (charge in excess of government paid fees)
• Private insurance sickness/disability form
• Life insurance death certificate
• Employment Insurance/Maternity Certificate
• Travel cancellation insurance form (with examination)
• Insurance cover of physiotherapy, massage therapy, accupuncture, compression stockings & orthotics

$44.75

$85.00

$134.05

$44.75

$26.90

$35.85

$23.55

Other Items

• Letters at patient's request

$400.00+