Fees for uninsured services
These services are not covered by Alberta Health Care and are charged directly to the patient.
These services are billable because they take physician and staff time to complete. Our fees are within the current Alberta Medical Association guidelines for uninsured services.
- Payment is expected before any forms are released.
- We accept cash (exact amount), cheque, credit and debit.
- An appointment is required for any form request.
- Forms and paperwork are usually completed within 1 to 4 weeks.
| Service | Fee |
|---|---|
| No-show or cancellation with less than 24 hours' notice – regular visit | $50 |
| No-show or cancellation with less than 24 hours' notice – procedure or physical exam | $100 |
| Service | Fee |
|---|---|
| Sick or work note | $40 |
| Massage or orthotic prescription | $40 |
| Service | Fee |
|---|---|
| Driver's medical | $125 |
| Pre-op for a dental or surgical procedure not covered by Alberta Health Care | $100 |
| Disability parking placard | $60 |
| Disability Tax Credit form | $125 |
| Long-term or short-term disability form | $65–$200 |
| Fitness for work, school or travel (depends on complexity) | From $60 |
| Drug special authorization form (Blue Cross or other insurance company) | $50 |
| Attending physician statement | $300 |
| Other insurance forms and documents (depends on the complexity of the form) | Varies |
| Service | Fee |
|---|---|
| Travel consult (travel advice is not covered by Alberta Health Services) | $50 |
| Chart transfer (plus $0.25 per page after 20 pages) | $25 base fee |
| Out-of-country visit | $125 |
| Visit without Alberta Health Care coverage | $60 |
| Lawyer request | $50–$75 |
| Pregnancy test | $15 |
