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Click Here for Annual Fee Form

Third party services
Unisured Services are services that OHIP no longer covers.  To help offset these costs we offer you the opportunity to purchase an Annual Fee Plan for Uninsured Services.

This is an optional plan that will cover you for select services for 1 year from purchase.  If you choose not to pay the Annual Fee you will be considered a fee-per-service patient with no changes to your current care.  Fee-per-service patients will be required to pay for any Uninsured Services on the date of service through cash, debit or credit card.  Lists of Uninsured Services can be found below.  If you wish to purchase the Annual Fee please fill out the form found by the link above and submit to the Business Office with payment.

 

SERVICES NOT COVERED BY OHIP

  BLOCK FEE PAID ($) BLOCK FEE NOT PAID ($)
Prescription renewals 0 15
Day Care Notes (communicable disease) 0 20
Off work/school note (Payable on date of service) 0 20
School/Camp form (excluding exam) 0 25
Insurance Disability Forms (Payable by Patient)
(Payable on date of service)
25 - 100 25 - 100
Chart summary transfer: (Payable before transfer)
Single
Family
0
0
50
100
Disability tax credit form (Appointment required) 50 50
Pap (not OHIP covered) 50 50
Massage Therapy, Orthodontics, Physio (for insurance coverage) 0 20
E.I. Disability/Maternity Certificate 25 - 45 25 - 45
Immunization Record (replacement) (Payable before completion) 0 20
Life Insurance Death Certificate 0 40
Travel Cancellation Insurance Form 0 50 - 100
Driver's D.O.T. physical exam & form (Payable on date of service) 100 130
Missed appointment without prior notice 30 - 60 30 - 60
Newborn circumcision (Payable on date of service) 200 200
Other 3rd Party Physical Exams with Form (Payable on date of service) 100 150
Photocopies individual consideration
T.B. Skin Test (3rd party) (Payable on date of service) 30 30
Travel Advice (in office) 0 50
Travel Immunization (charge per immunization) (Payable on date of service) 0 15
Medical Legal Report charge according to complexity & extent of report
Skin Lesions (cosmetic or non malignant) (Payable on date of service) O.M.A. fee schedule
Volunteers Hospitals/Nursing Homes 0 25
Commercial Weight Loss Programs 0 25

An appointment must be made with your doctor for completion of any
forms/certificates which are payable on the date of service.

Other uninsured medical/surgical procedures NOT covered within the scope of this plan
will be direct billed to the patient.
Additional charges will be added as government legislation changes.

 

 

Prescriptions:

It is the responsibility of each patient to monitor the amount of medication and refills they have at all times, and ideally when running low to book an appointment. Our physicians make every effort to provide ample repeats so that you don't run out of medication.

 

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Appointments
(905)844-3281

Business Office
(905)844-8001

Phone Hours
Monday to Friday
8:15a.m. to 5:00p.m
Click for after hours info

Clinic Location
1235 Trafalgar Road
Suite 200
Oakville, ON L6H 3P1

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Providing care for Trafalgar Sheddon & Associates patients. After Hours Clinic Monday to Friday from 5:00pm-8:00pm. It is important to arrive and be registered by 7:30pm.

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